HomeMy WebLinkAboutPermit Building 1988-10-03#
22s Noz,th stl, itrnffPLrcAtfiN/PERtrtrr
SprLngfield, }regon 97477
Building Diutsion
7 26-37 53
.. RESIPENTIAL..SPHINGFIFI TTI
-=?c,t Iat #
/,GJob Loeaticn:
Aeseasors Map #
Subdioision:
A,met:
Address:Phone: -'
ci zip:
Deec?tbe tfotk:
CAayte ?rrfu )'n/'o
R,lcAe^ o nd Lre. fTac\
Date of App d90Value
Aildi.tian
RenoCel
GeneraL
ElectricaL
b0
/o-lt-K
Date:
Je,
Cons*uctton_Leide!*E
It ie the neeponoibi-lila of -tte pev',nit lotdet' to aee tlut alt inspections ee nad,e at the prope? tine, that each ad,ineas is t,eadabief.y--t!r at?eet' arld. tlat the-penntt-catd ia Located at the fioni of the prop*ty.*Buiaing bj.oiciot appro"*ed ptu slnll remain on tle tul,lal"g- iiic at aLL times.
?.R12EDUP\ F04 rySPEcrI)N .qz--QyESr:CALL 726-3769 (veeordet,) state your City desigrnted. job nurbet,, job aCcbess, type
::*":1"!-Ty-D-le: liou uiLL biieady for inspection, contraetor" oio at "r""n*,.Lrd pt ". "urrbi.' p"A;;tt tece;i:Za'|LYLL be nade the sane dagn "equests ncde after ?:00 on urill be mad.e the nert:nrki$ d.ay.
of inspeeticn
befcte 7:00 et
Ior.tv, Ci ty Desisr.ated {@ tmber te: j*ZFC>R< f
SI?E INSPEC?I)N: ?o be nwde after fAezcantation, but prtat tc set up of lllforna.
IJYDFRSLAB pLUr,rBrNG, ELECTRTCAL &
WCEIIIICAL: To be nade befoz,;e ang
.uotk ie coueyed.
F)O?IN} & F0UNDATTCN: ?o be tmCe
-
altet trenches a?e escauated and
forns ote etected, but ptiot, to
pow"ing ccnc"ete.
UND9RGPOUIID PLT]MgINC. SIWEP. I\.ATER,
DRAfilAGE: ?o be made pr"tor to fil-@i-renehes.^,,\
UilDERFLOOR PLUMBTNG & MECHANTCAL:
?o be nade prioz, to installation of
floor insulati.on or decking.
POST AND BEAM: ?o be made pri,or toinstallatian of floor insulation ordeeking. -. .. , , -) . -. t )
ROUGH PLANBIIIG,
.frLECTRTCAL
& I,IECH:
ANICAL: No uotk is to be cooet,edwftil these inspections lnue been
nade ard. approueC.
FIPEPI,ACE: Pm)ot to plaeirg facingmaterials and. before franing inspee-
tton.
INSULATTON/VAPOR BARRTER IIISPEC?ION :
?o be made after aLL insulaticn ad.
required uapor buriers @e in place
but before ory Lath, Wpsun baatC or
rnLL cottering is applied, and. beforeoty insulation is concealed.
DRYWALL TNSPEC?fjN: Ic be nadeafti-AT@tfie in p.t ace,
but prior to anA taping.
\IASONRI: Steel Location, bond
beons, grouting or oerticals in
accoz,dance LlLth U.B.C. Section
2415.
WOODST)T,/E:
empT;t;A.
After installation is
DEU1Lrur)ll oR !.iowD
Scnita4 seuer eaptped at properfu Line
Septic totk p;.mped and filled ttth gz,auel
Final - h4ten abcoe i.tens are cctnpleted
and uhen d.ernolition is complete o" strac-
tut,e moued and prenises cleaneC up.
X
After fonnsto pout"ing
concrete.
SIDE\IALK & DRf\EilAI: For aLL can-
crete paufrAffi street rtght-
?f-txA, to be made after aLL ecca-
tattng canplete & forn utotk & sub-
base naterial in place.
UICE: l,lhen conplete -- Proutde
gate6 o? mouable eections through
P.U.E.
Hcmes
Blocking od, Set-up
Plunbi,ng connections -- aate? otd aater
Electrioal Ccttnection - Blocking, sei-up
ard plunbing coTrnections rntst be apprcved
before requeating eleetrtcal inspeetiott
Accessory Building
CURB & APPROACH APPON:ee erected. but prion
E
Eiral - After
etc. ate conp
pct ches, ekirting, decks,
Leted.
fi fAmtnct Must be requested after|' I approoal of rough plwr,bing, electti-cal & meelnnical. AL! roofing' ... bracing & chinmeys, etc. trust be
. conpleted. Ilo ucy,k is to be eon-. cecled until this inspeetion lus'been rrud.e anC approoed.
FTilAL PLUMBIIIG
FIIIAL MECHANICAL
FINAL ELEC?RICAL
ALL pt'oiect conditions, such ae the installation of stl,eet tteee, conpletion of the
i lii rcquired Landseepirg, etc., nast be eatisfied before the BUILDLNG EINAL can be requested.
fr\ F|-NAL BUTLDIN7: rh? Final Building rnspection nuat be requested aftet the Final Plunbing
\a-/ Electrical, and Meclnnical fnspections l'ntte been made ald'approrsed.
x
*ALL I{ANHCLES AND CLEANOUTS MUS? BE ACCES1TBLE, ADJASTI1EN? TO BE M4DE AT NO COST rO Cpy
n
A,
tr
Page 1 of 2
to'
JOB NO ,/ soLAR ACCESS REQ.-
Grc
L-co d
Bedrooms
lleat
toxe
-- Fees --
Building Volue & Permit
This permit is granted on the erpress cond.ition that the sriid constvactionslnll, in all respeets, eonform to the 2rdinance edopted 6iy the Ci.ty ofSpz.ingfield, incl-uding the Zoning C,r.dinanee, regulatlng thb ccnsttuZticn
otd.use of buildings, and may be suspend.ed oy reuokeC it cny time upon oic-Lation of dlA prcuisions of said h,di.nances.
Building Permit
State
?otal Clnrges
?otaL
f HAW CAREFULLy EXil,IINED tle contpleted appli.cation for pernit, and. dohereby certify that aLL infornatibn hereon- is tuae and ebtrecti ard. tfuttket, certify that ang ard aLL uo*k perforned stnll be done i, oo"or-dance urLth the }t'dinanees of the cita bf bpringfield, and, the Las of thestate of Oregon pertaining to the aork cesq,ibed herein, end. tlnt No occa-Pl.Ncy urtll_ b-e ngde of qa st?uctu"e vlthout permisaion of the Buitding DL-tsision. r further certify that otly contraetops ad anpicyees aho az,Z ineonpliance aith 1RS ?01.05S uiLL be- used on this project
J**
Lot Faces -
Setbacks
P.L House Caraqe Access
No"th
East Firep
'South
bt Sq. Ftg.
% of Lot Catetaga
# of Stories
?otal Eeight
?opographg
LOT ?WE
_ fnterior
_ Conner
_ Panhand,Le
CUL-de-sac
ValueNEMEYGx
Vest
l4ain
C,saqe
Catport
Accessot u
b>oz,32,4 /f,e-*
TOTAL VALUE
S.D.C. 1.5 x
/-6-.-)-Date Paid:
#
CHARGE
Signed:
rTEM N0.FEE
Pi"ztuz,es z ?,:ro lS'rc
Resid.zntial (1 bath)
Seuer
/f.4-F
Plumbing Permit
No, pereon slnll eqnsttact, install., alter ot clnnge any neu ct, eristingqltnling or drainage sasten in uhole or in pott, inlesi sueh person is- the
Le,gal -possessot, of a ualtd plumber,,s Licensb, escept that a pZrson nag doplunbing uork to property uhich is otmed, T.eased ot, operatei by the oppli-cant.
Plunbing Petmtt
State
Electricol Permit
Were State Lan reEtires th,at, the eleetricaL uork be done by an Elecfu,i.ealContractor, the elee+-z,ical portion of this permit shall not be oaliC untilthe Label lns been signed bg the Electti-caL- lontractot,.
2-SD
r1Petmit
Nat/Ectend. Circuits
Sez'uice
State
?otal
-- ENCROACEMEN? --
NC,FEE CI]ARCE
+l.
*
Mechqnicol Permit
bh.a$t Hood
Ilcodsto;se
Vent P@t
Permit rssuance
Meclwnical Petnrtt
Sec,u'ttY Depostt
Stot,age
Mainteaance
Pennit
Cvrbeut
Sideualk
Fence
Elect?ieal ta.bel
Mobile Hane
TO?AL AMOUNT DIJE:*8 /-7a Signed
4
Date
YT
2<"a
-
?c,.s Lot il
"tob Iocation:
Aaceeaore MaP ll
Subdioision:
A^mer:
Phone:Address:
Artt "shrz,raSbrlice 4q4-Y
ValueDate of
zP
Describe l,lork:
ndditian
RenoCe
Receipt I
APPLICAT.
225 Nonth |th Street
SprLngfteld, Oregon 97477
BuiL&Lng Diuisio.n
7 26-37 53
..RESIDENTIAL..
SPFIINGFIEL.D
/PERMIT lLlrql
Date:
nf
General
Plumbing
chanica
ec E.ricaE
ianEI:erv ].S
Sanilary aa.tet capped at propetty line
Septtc tork y'oryed' atd filled vith gra;tel
pinal - l,lhen abooe itene ore canpleted
and uhen ilatalition ia canplete- or attwc-
iiin ^ou"a atd pratriaes cleaneC up'
e
Blocking otd Set-':tP
Plunbittg connectiona " aa/'er ord' utater
Electrical Conection' Blockittg, aet-up ,
and olwibinq connections nust be dPprct;ed
i; ;ir;" riqu'eeting eL ec lrtc aL inspee lio:t
Acceasory Buildittg
eki.tting, decks,pcrchee,
leted.
Final - Aftet
etc. ate canP
Page 1 of 2
It ie the
fron the'tOuildirq
reeaotaibilitv of tlc permLt lolder
Btre'et, and tlnt the -petnit catd ia- fi;i;i"; appro"*ed pl'an ehall remain
Located at the front o1 the PtopertY'
on tle Buildintt Site at aLL tines'
that aLL inapectiota ate nade at the pro?er tine' that acch cddtess is read'abieto aee
26-3769 (recordet') etate your City Ceeignated iob
nane and phoneinepection,Cont"actot'y or OLmers
aftet, 7:00 on urtll be nade the next wrkinT day.
Iour City Deeigr,ated Job Nwnber Ia:
PRocsDURE FoR IN1PECaION ,!-s=QI!ESr;CALL 7
nequested and when you D,LL be reaay !o?'.iil be nnde the aante dcy, requeete ncde
ru,mber, iob addrees, tYPe of insPec'-i'cn
nunber. Reqesto receit;bd befcre 7:00 ct
0
SITE INSPECTION:
e.xcaoation, but prLora
To be
to
forna.
FINAL PLUMBINC
FTilAL MECIIANICAL
FIIIAL ELECTRICAL
ae!
after
uP of
UNDERSLAB PLUMBTNj. ELP.IRI=CAL &
utcnenrcet; fo be nade before anY
ffit-li-i6tered.
PooTIllC ,9 FOUNDATICN: To be rmde
;7t;;-tterrcd;a are &cauated and
1o-, *. erected, but Prior to
pouring ccncrete.
\Np\RGROUND PLUMBING? S9t9R, .WA\E8..
DRAI\IAGE: To be rrude Pr1,or to ILL-
TQ6inchee.
uNpERFtOOR PLu.!$ rNc 4 ME1HANI CAL :
?o be nnda D"ior bo tiiii|ffitd of
floor ineulation or decking'
POST AND BEAM: To be nnde PrLot to
TGiiTGffiTof floor ineulation or
deckittg.
R7\GH PLU1BII\C. EL.ECTR!?AL I MECH;
ANICAL: No tPrk ia to De coverea
.Gilftheae iwpections haue been
nnde atd approued.
FIPEPLACE: PrLor to Plccirq facing
Aerl;C atd before froning i'nePec-
tion.
FRAIIING: l,lust be requeated after
ffit of rough plwrbing, electni-
&'L E nechanieal, - ALL roofittg
bracirtg A chinmeYs, ete. tttust be
. conoleTad. llo ttork ie to be con-
,.eiled until thiB inaPeotion laa
'been nade anC aPPtoted.
DRY\IALL INSPETI7N: ?c be tade
@'te.inplace,but prion to cnY taPlng'
IIASINRY: Steel Loeation, bond
dffiiigrouting or uerticale in
ioooidolon vith u.a.c. secbion
2415.
\1O\DST\VE: After inatallation ie
@rpGrA.
CURB S APPRCACH APB,)tl: . After .forns
are eirected but Prior to Pouttttg
cotetete.
li#ffi iffi'",!.2i,"',lni,ir!-
of-r,tcu'. u be nade after aLL etca-
iLti"ia'oorPtete & for"a wrk E sub'
base nnterial in PLace'
PENCE: hlhen conPlete -- ProuiCe
fr", o, nottable- sectiona through
P. U, E.
_.--
ALLpnoiectcondittone,suchaaLheinstallationofat'reett-1"-"'1'conplcttonofthe
required Lanrleecpi.tcgi-Lt".-,'r.u"t be aoti"1izl'l,"triiln" surLDrv'c FriAL can be requested'
ilNAL BUILDING: the Final Building Inepection tuet be raoueoted alten the Final Plunbing
(-) ';:r[li"iz;i","*a iir-,,;ii ii"p""t1o;:;i;";' ;;"; idu- o'd'opprooed'
IAT,L MANIICLES AND CLEANOUTS MUST BE ACCESSIBLE, AD'IUSTIIENI TO BE IL4DE AT NO COST ?O CIIY
tr
JOB NO.
Zone
Total
soLAR ACCESS tlEQ.-L*CO G+
Bedroona:t:
PLan Eroniner Uate
,
I IIAVE CAREFULLy EXAMINED tle conpleted application for perrnit, and do
herebg certify that aLL infortrntion hereon is true ard eorrect, and I
further centifg that any ard aLL uork perfor-ned elall be dote in accor-
dance tttlr the 1rdinancel of the city of Springfield' atd the tcdl of tho
State of 1regon pertaining to the :urrk Ceacri,bcd herein, cnd lhdt N0 0CCU-
PANCy dill be nade of any structure withottt permisaion of the Building N'
uision. I funther certify tlat otly cont"actore and enplcyeea Dho are in
eaapliance uith 2RS 701.055 uiLL be used on thia proiect
t
toteth
t
P, L,llouoe
[at Faces -
I of Storiee
Total lleight
Topography
LOT TYPE
fnteriot
Corner
Panhandle
Cul-de-aac
Lot 5q. Ftg.
z of Lot Coueraga
TTEM SQ, FTG X VaLue
tbin
ktaae
CaPport
Acceasora
TOTAL VALUE
S.D.C. 7.5 x
Date Paid:
Building Vcllue & Permit
This permit ia granted on the espress cond._ition ttut, the said-constrwction
shall', tn all rLepecti,- conform'to the 1rdittznee adop.ted $y the City o.f
spi.LngTietd, inctluding- the 2oni.ng cydinance, regulatt,ttg the ecnstntcticn
i,a "'iZ of Luildin<ls,- and may be euapended on reuokeC at ctty time upon uic-
Lati.on of any prctisiona of aaid 2rdinances.
Building Permit
lotal Chtrgea
State
Plumbing Permit
No pereon slall conetntct, inetall, alter or clatqe -GnV nod-cr ezisting
plunbing or drainage sy|tat in ulole or in patt, unless sueh penson is the
iegal p"osees*or ofa ualid pl*rber's License, etcept thot a pe"son na7 d9
pti-rtlitg uork ta property ihich ia oumed, Leased or operated by the appLi-
cant.
Plwnbi.ng Pernit
CHARGEN0.
State
ITEM
Pi.xtu,ee
Resilential (1 bath)
Seuen
Electricol Permit
Whete State l-ant requinea tlnt the eLectrical uork be done by an glectrical
contractor, Lhe electnical portion of this permit etull not be ualil wrtil
the Label hae been aigned by the Electrical Contraator,
.oo
NO.
4
Nan/Eztend Circuits
Seruice
Stcte.
Total
Ez,hanet llood.
CIIARCE
*
Mechqnicol Permit
Vent Fot
tlcodstooe
Penmit fssuanca
Meehanical Permtt
.- EIICROACHMENT --
Securtty Dewsit
Storage
Pbintenance
Permit
drban!
sida,talk
Fen::c
ELectricaL L /LD
Mobile llaw
Reeeipt il
,IATAL AMOUNT DUE: I t5,DTte
t
FEE
lJeter
4
/16 # gfr,/7/
4A--u'
,4
/,r4z-'(-
r/e/z
-/,*/z-e-.* &*
/-.."*r'Zaa?./'
@ry6zcc
&
,/ Z/,2 /-4
f.-a*i z
4-?
/4rne. 71/7-Qq/5
YJ
\sN1[t \r\
>s
/74 7
.. RESIDEi '-IAL..
22 5 North sth s;treeAtPPLr
cAT r,N /PERMrr
SprLngfiald, 1regon 97477
Building Diuision
7 26- 37 53
SPFIINGFIEL.D
Otmer
Addtess:a
City:
lleD
Additicn
RenoCel
ilob
Date of
Genera L
PLunbir4T
Constructicn fOl4gf
It ia the
from the s*Buildiyq
DDnTeittcE
:iou
L be nade the sane daY,
Phone:
Describe h'orli:
V{rz7rta-z /4-Z---
Val.ue
st
responsibility of the petmit ho-Ldet'
tne'et, and that the -Perrtt eard is
b;i;;;:i"; approu^ed p|.an svcll remain
to aee
Located
on l:he
that aLL insPections ate nade
at Lhe front of tfLe ProPertY'
Building SLtc at aLL tines'
at the proper tine, that eceh addtess is readab'i'e
nunber, iob aCiress'of inspeclicn
ALL 726-3769(recorder') state Aour City Ces
inspection Contractors cr Ahers nctne
tyPe
:i.xednunbcr, Pequests rece befcre 7:0C ctignated job
cnd phonebe ready for
reqtests made aftet' 7:00 on aiLL be rrude the ncrt wrking dai;
lout' City Desigra.ted Job Nwnber fs
be after a Lnsu
requ:-red uapor botriers are in Place
but befare anY Lath, gYPsun baarC or
ay insulation
i-s cpplled, and before
is concealed.
tnLL couering
I_1 SITE INSPECTION
I I etcauation, but
Jorns.
TNpERSLAB PLUMBTNG, EqlclRr-cAL I
ttgchrl.nlAh To be made before anY
66ii-li-iooered.
FCOTING & FOUNDATICN: To be rnaCe
;\C;-$;ncn;s are e-&cauated and
7oo " *n erected, but Priot to
pouring ccncreta.
I unotncnoulo pzuustwc, ssYEn, .w'qr,E=E'
', I onnlaaa: To be made Prlor to J1'L-
Lirq ttenches.
utt pEPFLO)! PLUIEIryG 4. MEctlA'NI CAL :
ro be nade prlor to tii{ffifil o7
floor insul>ation or decking'
P1ST AND BEAM: To be nade Ptior to
ffiof floor insulation or
decking.
R1ucH PLUttBr!\G, .EltECTRrgAL & MECH:
Tildml--frinorY.is to bc co"*et'ed
,;;lil tho"n inspections h'zttP- beer
nade and aPProtteC.
FIP.EPLACE: Priot to Placirq facing
,at;fiA; and before ftuning i'naPec-
tion.
FRAllfllC: t"luat be tequeated aftet
aal;noo"L of rough plttrbing, electri-
e'il 8 nechanical. - ALL roofing
bracino 8 ehinmcYs' etc' rntst be
conole-ted. !1o ucrk ie to be con-
"nilnd until this insPection lus
'been made anC aPProoed'
To be nnde after
prior tc set uP of
DRYWALL INSPTCTI1N: Tc be made
ifte" ;tl-@GlT-;.s .in Pt'ac e,
bub Prior to anY tdql'ng'
MASONRY: Steel Location, bond
6ifrilarouting or oertica!'s in
a366vffice tith u,B.c. section
2415.
WOODSTO'/E:
cctarAA.
cuRB & APPR,C CI| APPqN'
ote erecteC but Prlor
After instalLation i's
After for.ns
to pouring
concrel;e.
W#ffi'"rl'""ir"L,LnF':-if-,ni' to -be mace after aLL erca-
iltlnl- "rn;rteLe
& fotn uPrk & sub-
base -nnterial in Place'
FIIIAL PLUMBING
FINAL MECHANICAL
FINAL ELECTRICAL
IENCE: ta4ten conPlat'e -- ProuiCe
iffi o" nouable- seetians through
P,U. E.
ALL g,o,;eeL cotdi:ittns, ;:uc!" as Ll-te !'ns:.aL-Latton of s'-I'ccL tr':e't' )i:i'-crion oi L'Ls
required Land.sccpt.ng,'-Lt".', *r"t tu "ot;"fif,a"'L,"i'r"" tt" BtirLDtl;c FIitAL ccn be requcsLed
I]INAL BUILDINC: The Final Building Ins;,c,ttiott .n)st be'"!'-n-"-:*,.:!tcr thc Final PLunbirt3
(j'i'rZ1i"iZi"' iliZi,2 r'";;*',1.;l,r r,o"pn" tions'ltauc been nnde and approts; r'
5rkJob Locaticn:
Tot Lot llAssessots Map #=.a
Subdiuiston:
)a
7t?/
Date:
tl
^r-G
1ELec
llc,chari.ecL
!.: i'LITIOI]LD-i;;CScORDEt.to
Sanilory seset capped at pr'operty Line
Septic tank p'-tred' ard filled uith gra:tel
Final - I{hen abcue itens ote canpleted
and uhen Certolition is conplete- or st?uc-
iuin ^ounC ard- preniees cleanei up'
t'lobile Hcmes
BLocking and Set-uP
Plunbtng connections " sater anl ualer
ElectrLcal CcnnecLion - Blocking' set-u= ,
anC plwnbinq cannecLions nt;st be appracrec
f, "?ri " rlq""rst ing el ec lric aL inspec liot
Aecescoru BuiLC'-n4
Ptrnl - After pcrckes, skTtting' decT<s'
etc. are ccmPieJed'
Page 1 of 2
tl
*AT,L I4ANHCLES AND CLEAIIOUTS IIUST BE AC)ESSTBLE, AD,IUSTIIEI:T TO BE t':'4it1 'r'? uo :tsr T0 ct?y
tr
tl6\,1<
\
SOLAR ACCESS REQ.-^*(,
U)t
JOB NO L-CO
Bedrooms:
Lot Faces -Ene?(tu Sources Ti.tce
Setbacks lteat
P. L,I!ouse Cara_qe Accesa.I,later lleatc?
North
East FirepLaee
South iloodstou'e
Iat Sq. Ftg.
Z of Lct Couenage
fl of Stories
Iotal Height
Topography
LOT TYPE
_ Interict
_ Conner
Panhandle
CuL-de-sac llest
-- Fees --
Building Volue & Permit
This permit is gnanted on the ecprese eondition tlat the said constyactionshall, in a|.L nespects, conforn to the Ordi-nance adopted tiy the City ofSpringfield, including the Zoning Crdinance, regulating the ecnstyttcticn
and use of buildi.ngs, and may be suspended or reuokeC at cny tine upon oic-
La.tion of any prcoisions of said 0tdinances.
SQ. F?G VaLue
TOTAL VALUE
I?EM x
*
s.D.c. 1..5 c
Building Permtt
Total Charges
State
Signed:
Reeeipt #
Check
Paid:
Plumbing Perrnit
N2 pereon slnll consttact, install, alter oy clange any ned cr existing
plwnbing cr drainage systen in uhole or in patt" unless such person is the
Legal possessor of a ualid plwnbet's License, eocept that a pbrson nay dopltnbtng uork to property uhtch is ot)ned, Leaeed or operated by the "ppli-eant.
l,o I LL CHARCE
*
rTEM
Fittutes
Resi.dential (1 bath)
Seuer
Plunbing Pernit
State
?otal
Electricol Permit
Were State Lau yequires tlnt the electy,ical uotk be done by an gleetrical
Cont"actor, the elec+-r'icaL portion of this pernit slwll not be oaliC untilthe Label lns been signed by the Electtical Conttactot,.
TLL
L
Na,t/Eotend Circuits
lanporoy Setoice
State
lotal
-- ENCROACHI"IENT .-
nEM FEE CIIARCE
*
Mechq nicql Permit
Ucodstooe
Vent Fot
bhanst HooC
Petwit fssuqnce
Mechanicel Petnrit
9ec"trity Deposit
Storage
Maintenance
Pernrtt
C'utbeu!
Sideualk
lence
Electrical Label B572 .26
Moblle Home
?renefl
r HAW CAREFULLy EXLMTNED the cornpleted application for permit, and dahereby certify that aLL irfo=mation het,eoi is true and cbrr.ct, ad tfu,tker,.cet,t?fU that any ard aLL uork pe,fotned slnlt be done in aceor_dance rtith the 0rdintnce.s of the citg bf bpringfield., and, the Laxs of thes_tate ol 019gon pertaining to the aotk cescribbd herbin, cnd ttat No occu-PANcv uiLL b3 ryce of any structure uithout permiseion by tt n Buitding N-Dlsion, r funthe, certify that only contraeTors and enployees uho aie tnconpliance uith ORS Z01.0SS uiLL be-used on this project
TOTAL AM)U!]T DUD:*
*
i-.4-
Total Clnroes
State Sutch.anoe
Al
.?O t