HomeMy WebLinkAboutPermit Plumbing 1989-06-07I
:t.. RESIDENTIAL..
)DRMIT SPFTINGFIEI-D l'{l(t bAPPLTCATT.
zzs itonth |th Street
Spr|ngfteLd, )regon 97477
Building Diuision
7 26-37 53
Job Locaticn:
2
Aaaeaoore Map ll 33(z
S\bditision:
A;ner:
Address:
City:
Neu
Tcs tat ll
q
oblN
ldditicn Ql\Yffw ur+aM
Deocrtbe Norl<
Value
L
Data:
Date of Applicat a
ncr
General
1
Pliortc
rss
P Iurnb
l,1echauica
[].ectrical
SuDervising DIectr.i t i:trr
It ia the reoponcibility of tte permit holdey to oae that aLL inopec_tiona ata nade at the pnoper tine, that ecoh cddrees ia Pealab)e
J'pon the ocre'et, anl. that the pePrmt oard ia Lccate.l at.L-h.e. frc]1t of the--property.
isuildir,g D.iuic-ion upproued plbn shcll r"endin on the Duiltl.ing Sitc at aLL tinea.
?rgegDU?E Fon INS1EffION R\QU :CALL 726-3769 ('|ccotcler,) etate yotu, City deeigru.ted iob nwnber, iob aCdr|eae, lUel of tnspec!-i-cn
"adyforinspcction,co,ltractol8oia,n","-,.,*,a-a,ldplo,entnbcr.Requeot8leceivedbefcne?:00clLtiil be nade the eoine dcy, reEtesta-ncde after ?:00 an viLL be nada the nctt tnrking day.
Iotrr City Dcaigra,t,ed Job Nwnber fa:ArL
lle ouir e,l J 4,;1t 2 a: f.t'- c 4 3
SITE INSI'EC'1ION: 'l'o be nade aftet'
es;;;;ilon, bit prior tc set up of
forne,
UNDERSLAB PLL'TEINC, ELEAIRICAL &
ItECttLttICeL: ?o be nade belore cny
.rlitT7i6urred.
1OOTINC I F0U,\D,fffCIt: 'l'o be nnCe
after trenahrs .lre crcauat ecl antl
forna are erected, but pt'iot' to
pouring ccncretc.
SSIIE!?H.1
DJ]AIIIACE: ,]'o
TS-tiinche"
p|Loy to
fo tr, ,*Ae after atl iniulaticn ad
requlred uapor barrieoo are in plaoe
buL befone any Lath, gypatn board ot
unLL oouering ie applied, ctl before
ay inoulation ia concealed.
rNsut,A',t'.IONlVAI'OR BAnnrER rllsPEC?I)N :
DRlHAt,{, INSPEL'|'ION: Ta ba nada
alri;-ATA,'yGTT-;o in ptace,
but prior to any taPing.
t'lASlNRl: Stcel location, bond
Eiili]grouting or verticals in
accordance wtth U,B.C. Section
2415.
on !.pvED
Sanilaty aetser cappeil tt propert'g Line
septic totk pwnped a,td Tiliad uith gratel
final - l,lhen aboue itens are ccmpletecl
and when denolition ia oanplete oP atru2-
tura noved ard prenriseo aleaneC up,
llcnee
Blooking od Set-up
Plwbing connectione -- oa)et ard ua2er
Elaotrioal Conneotion - Blooking, set'u=
atd plwbing conneotions nast be apprcr;ec!
before requeoting elaotrtcal inepec)iott
Aoceesory* Building
tlooDS',I'.ovt:cc;fl;;A.After inatalLation ioUNDERFLOOR PI,UI'IBI]|C,1 \IECIIANICAL:of
floor inaulction or decking.
POST AND BEAl,l: To be nadc Prior to
TiiTilGiliof floot' insulation or
deckin5.
no!cil P!.UtlBI!lC. rr.Ecrn!cA!. ,1 t'l!:cll-
AIIICAL: No ttor),. is l;o bc coaeYed
iiiTthcse inspectiorrs have beer
na<le arul apptove!-.
F|PEPLACE: Prior to plccirg facingmcterials an<l bcfot'e fra:ning inapea-
tion.
FRAI'IINC: t'tust be requeote<l afler
approual of rough plwnbing, electri-
cal J nechzntcal. ALI toot'ir1g
bracirul e chitmcya, etc. rrust be
conpletcd, llo ucrk ia to be con-
cecled until thia inspection laa
been tmde anC appro"-ed,
cuRB e APPnCACil AlpN:6i "rnctu[a"t pi{o" to
concrete.
SIDEI.IA|,X ,9 DRII\E\'IAY: For aLL con-
After .forns
Poutnng
"
t:e t e -Wmr"J -r,t-i t tln a tre ct night-
of-rx:y, to be made aften aLL etca-
vating canplete & forn r;onk & oub-
fu.se rntertal in Plaee.
Pinal - Aftar
ato. are aatp
pct chea,
leted.
akinting, decks,
Page of
IENC|: hthen co:nPlete -- ProuiCe
,J;i;; or movable sootiona through
P, U, E,
FIIIAL PLU|:BTIIC
FINTtL ttECllA,fICnL
- --:_ -'AlL projcc:t <tondibions, euch aa t\rc i.natallation of alreet tree.e, conplation-of the''re1u'irc-rl Lirui!"""p'i,'tg, ctc,, tmtat be aatiaficd bcfore the BUILDINC FINA\ can be requeated.
FIN,4L AUILDTN(;: 'l'hc l,inal Building Inopcation rruet be requeoted aftet the finc,l Plwnbing
Elcctr"tcal, anC t'teclnnical fnspectiono hqvo been nade ard approoed
FIITAL ELECTfrICAL
IAI,L I,IANIIC|,ES AND CLI:ANOUI'S III.I91' DT: ACCESSIBLIi, ADJUSTIIEN! TO BE TI4DE A? IIO COST TO CIIY
tl
JOB NO SOLA ccEss nEQ.-L- co Gor
7-one :
tot Faceo -
P.L llouae.Accc ss
th
! of Stortee
Total Height,
?opography
LOT ?YPE
iInterior'
_ Copnef
_ Panhand.Le
_ Cul-de-oac
Iat Sq. Ftg.
/ of Lot Couerage
t
rTEN , FTG I Val.uc
,l
caa
l'll
nOTAL VALUE
S,D,C. I,5 O
NO cilAnca
Fiztured
Reaidenti^a.L (1 bdth)
Sdnita Seuen
I
IT[;AI Ff;E
Nett/Er.terul Circuita
Set tsice
Electricol Permit
I'lhct'e st;ato Lau requirc:t l:lat tha clacLrical uork be dotc by att sle::tricalcorrtt'acLor, tho. alectrical portion of :;hic pennit sttzll not ba ualic wttiithe label lna been oigned by the ElectricaL ConLractor.
Stete
Total
ilc CIIANGE
Eahatat llood.
Vent Fot
l,tcodstote
Mechonicql Permif
Perwit feou@toe
Mechanioal Perntt
.- EIICROACIIMENT --
I
Pcrmit
Curbcu!
Sida,taLk
Elec I
Mobile llonre
TaTAL Al'toUMl DUE: I
I IIAVE CAREFU\,LY EXAMINED tlte conpleted application [or permit, and doloreby certi-fy tltat aLL i:;fotnatiott het,eort' ia true attd c'orrect', anl. Ifurther.certify tltat any ar.ri aLL wrk parforned alal! be do:te in aceor-dnnce wtth the Ordtnanco.a of tha City of bpringficld, and thc tana of thastata of )regott pertaininl to tha wrk ceecribcd hcraln, cnd tlnt No occl-
PANCI will be rrnd.e of any atructut e uithout permio:tion of the Buitding Di-r,tieio_n. f furthan cent.if"- thet otly contrac'tor.s and onp-Lcyeee tfl.o arb incanpllance uiLh CIIS ?01.055 uill ba-uoed on thia pro,icc't
I'Latt Exanittat,Aati
4t1
L
noil*,
ta
e/Cor.e t:Becrootts:
l'(:t1I
en --
lleat
UaLer
Lat:o.
toue
LllocN I OA
Building Vqlue & Permir
Tltio 7;tmit i.o Orant:ad on tho o.xprosn condiLi.on LlnL the r,tid con:;i.tuc'Li.olall., _in -a_ll. rcnltccLn, cotq!'onn Lo the Ordi.tt(u;cc :t(\ol)tr.l lt,a dtc City of
Spr_in1\fieLd, i.nalurli.nq !:he- Xoninll Crditancc, re,1ul.r;t.itt4 Lln: ccnsLrtieLicn
and.uce of lni.Ldinlts, atvl n:;y l)L\ t;uapcndcil or ieuoR.cC ttL ct:!i L--nc uitot: u
l.o.Liott of any prcuittorio oi aaid.Ordinances.
Building Penit
State
Total Charyea
Plmbing Pernit
State Sutolange
Datc Pa:.d
Ileceipt ll
tiie:ted:
Plumbing Pernrit
N9 pet,cott alntl concttttct, inalal!, att,er or clnngc cny neu cr e:istitrg
qlmb-iW or drainage alaL61 in ulole or in part, L,:Lct;i :;uch person ic thlegal.pococseor of a vali.d Tttwnber'o Licctts'e, aacepb Ll.at, a p'e:.son nalt doplunhing uork to ltropct'Ly uhtch ic oune<l, lcnscd ir aitct,c!,ed'by thc a;;1.,Licant.
t
A
4
!..RESIDtrNTIAL..
SPFINGFTELD-
APPLICA\ -N/PERITIT225 North |th StY'eet
Springfield, )tegon 97477
BuiLding Diuision
7 26-37 53
P lurnb i
l,lechanica
lilec tr ca1
SuDervisi.tl ( lilll
, Cesignated job
rctne and plone
Date:
nunbet,,
numbet,.
rt is +-he responsibility of the permit hol.der to see that aLL inspec-tions ate nade at the proper tine' that acch addtess is t'eadaZle
frotn the streZt, anC that the-pet'mit-cat'd is. Located qt.lh-e. fPoJtl of -the,.Pl?e:tA''*b"ttaiW Diuiciot rtppyocecl plan slu:Ll remain on th,a Build'tng sitc at aLL tines.
PnocsDUPq FoR. I1ISP :CA
requested atd aken you siLL be readlJ
;*,iLL be made the sane Ccy, Tequests ,
LL 726-3769 (reeordev') state yout' City
for inspect ion, Cotttraetcrs ot' A)neil
00 cr rvilZ be nade the ncxt :sov'king dali
Iour City Desigr,ated Job Nwnber fs:
job aCdtess' tyPe
Pequests tecei"*ed
of inspec:i-oi
befcre 7:00 ri
Ttzt: Iot llq3 DL!
"rob Locattcn:
Assessotc Map il
Subdioision:
Plione
Oumer
Addr.ess:
CitA
rrator
Desct i.be lloti<:
fQ'^*r,0",
Value
fr-l
S\or
OC)+-LA -ffi
RemoCeL
Date of Applicaticn
!tobiL
General
Iulobile llcmes
Blocking otd Set-up
Plwnbing connectione -' aa)e? anC uater
Electrical Cortnecti.on - Blocking, eei-u=
and plwnbing connectione trust be apprc';eC
befoie requeeting eleclrical inspeeliot:
Aceelsory BuilCing
Pinal - After pcrekes, skit'ting' decks,
etc. dre canpleted.
Page 1 of J
Reouinerl an9
SI?E INSPECTION: ITO bE nade after
etcildon,lu,t pnior tc set uP of
forns.
UNDERSLAB PLI.]TEI]VG, ELECTRIC,lL &
tACXAtltCnt: Io be made before cnY
6fr7iiouet'ed.
FOOTING & FOUNDAIICN: To be rnaCe
;ftet-$encG; are ercatsated and
forns are erected, but Pt'ior to
pouring ccncret€,
DRYWALL INSPECII1N: ?c be made
0R !.10vED
Sanitary aaeer eapped at propetty lire
Septic totk p;,tntped ard filled uith gra:sel
Final - l,lhen abcoe itens at'e ecnpleted
and uhen Cernolition i,e eotnplete or strus-
ture nooed and prenrtses eleaneC up.
INSI.)T,AT,
be nade
required oapot
but before oty
raLL couering
ary insuLation
e7' d tnsuLct LCn
bau,iers ate in Place,
Lath, ggpsutn board ot
is applied, and before
is concealed.
w
I UNDERGPOUIID PLUI4DINC, SlttEP. t't.4TE:?'
AqenUCt: fo be na;le Prior Lo fil-7@-ii6n h"".
afte" att C;t'yuaLL is in Plaee,
but prior to cnlJ taPing.
MASONRY: Steel Locati.on, bond
tifii]grouting on uet'ticals in
aeeordance Ltith A.B.C, Section
2415,
WOODS'I'OVE:
;cmpT;TA.
After i.nstallation isl--1 uno*pLooR pLUt:Bt:tc & HEcltANrcAL:llof
floor insulation or decki-ng.
PlST AND BEAM: To be made Priot' to
frffiTatlan of floot' insulation or
decking.
ROUAT PLU!.,!BrttG, Et,EC?nrcAL ,t l,tECH:
ANICAL: No uorl'. is to bc aocered
ffiiT'those inspectiors haue beer
made ard approrted..
FIPW|IIiE: Pt'ior to Plccir4 faeing
^ct;;l;G and before'franing insPec-
tion.
PRAI.'!INC: l4uet be requested aften
appiooal of rough plwnbing, electt'i-
cal & nec?nnical. ALL roofittg
btacittg & ehirmeys, ete. rntst be
eompleted. lto ucrk is to be con-
aealed until this inspection has
'been made anC approt;ed.
CTJRB & APPROACII A?PO!: After fonns
ar,;;;e- tA-ilrV;lo" to pow'ing
concrete.
SIDEIIALK & DRIII\WAY: For aLL con-
cret; pa,/6G;id; stv'eet tight-
of-rxy-, to be made after aLL erea-
oatinq conplete & forn wrk & sub-
base material in Plaee-
FTIIAL PLUMBIIIC
FII'IAL MECHANICAT,
FINAL ELTCTRICAL
@
IENCE: ra4ten complate -- Pt'otsiCejiiii or mouable sections tht'ough
P.U, E.
AIL pnoject cond.iti.ons, suc!': as the i.nstallation of street ttees, co:rpletion-of the'*nquinnd Lan<1'cepitg, Ltc., mtst be satisfied before the BUILDINC FINAL can be requested.
!IN,4L BU.ILI)INC: The Final Buitding Inspection mtst be requested aftet the Final Plutnbing
Elicttical, and tlechanical fnspections TMDI been nade ard apptotled.
*AI.T, MANIICLES AIID CLEANOUTS NUST BE ACCESSTBLE, ADJUSTIIETII TO BE TL4DE AT TIO COS? ?O CNY
[,]l t:t'l t'
oN {D.!-{oLt
Setbacks !leat
P. L.Itouse Cara-oe
North
East ll Fireplace
South ll Woodstoue
Lot Faces -
dSOLAR ACCESS REQ.-JOB NO.
BeCroons
l./est ll
Iot Sq. Ftg.
% of Lct Cotteraga
# of Stories
Total Height
Topography
fntericr
Cornet
Panhandle
CuL-de-sac
LOT ?YPE
-- Fees --
Building Volue & Permit
This permit is granted on the erp"ess cond_ition that the said.consttwction
shall', in all r.Zspects, eonfonn
-to tlrc Crdinance tdop.teil fiiy the City 2fip"l."iytnti, inel'udrng- the 2oning Crd'tnanc_e, regulctittg tlrc ccnstructicn
oird. ,'o"n of LuilclLngs, and may be susperuled or reuokeC at ct:y time upon oic-
tntion of any prcoisiotts of said Qrdinances.
, r f u Value
TOTAL VALUE
i
3
S.D.C. 1.5 x
Receipt #
ITEM
I'lain
Building Pet'mtt
Total Clanges
State Date Paid:
No person shall consttuct, instal!,- a'l,tet or change -Gnll ned -ct' etisting
,i.*1i or d,ainage systaz in ulal.e or in part, unless such person ts the
iegal p"osses"on oT"o rLlid. pl*',bnr's License, etcept that a pe"son 'na! 49
ptiiti.hg uork to property u'hi"h i" ortned, Leased or operated by the appli-
eant.
PlumbingDCrCHARCE erm itITEM
Firtures
Residential (1 bath)
Sant Seuer
Plutnbing Pemit
State
Tctal
Electricol Permit
Illpt,e State Lau requires tl.at the elecl;ri.cal uork be done by .an Electrical
Cinttactor, the elictt'ical portion of this permit sLnLL not be oaliC until
the Label has been signed by the Electrical Contrdcto"'
*
te
Total
Nau/Ecterd Circuits
Settsice
-- EIICROACHMEN? --
CIlARCENC,ned
I
Mechclnicol Per
r' '{rJ'
kharct Hoo,7
l,lcodstote
Vent Fat
Permit Issuance
Mechanical Perntt
mit
Secaritu Deposit
Storage
Maintenance
Permit
-
Cvtbc'ut
Sida,talk
lence
Eleetrical tnbel
Mobile llorne
/,r29fu,zzto.r%
f:traZ
t, and do
dr1,c I
Total
La"ta
thdt
q-8#
of tha
N0 occu-
Building Di.-
s aho are in
d
*
TOTAL AMOUII? DUE:I 5t7/Date
L-CO
/??.6a
AF/7€
Fr?nace PTll'S
Total Charaes
State
.. RES'D E, -T I A,L,.
APPLICAI'ION/PERMIT
225 North Sth Str.eet
Springfield, )negon 97477
Building Diuision
7 26-s7 53
ob Locaticn:
lssessot,s llap I
iubdioision
A^mer:
Address:
ci
Descr[be tr'ork:
Additicn
RenoCeL
Date of App Licaticn Value
P lurnb ing
l.lechanica
ectricit I
?cceipt ,f
SPFIINGFTEL.O
\3'u5?
job aCdress, type
Requeste tecei"*ed
Date:
nwtbet
"nwtber.
S uper 1!t ln lil.c('tt'it irrtr
It ia the reeponcibility of the petmit holdet, to see that aLL incpec-tions ate nade at lhe ptope? tine, that eaeh cddress is readable
fron the street, anC that the permtt ea?d ie located at.th_g front of the-propenty.ieuitditg Nutc-ictr. appro"'ecl plun sfu:ll remain on tha Building::.itc at aLL tines.
26-3769 (recov,der,) state your City
inspection, Contraetcns ot' Otmerg
till be made the sone dcy, "equests mcde aftet'7:00 anuiLLbe rmde the ncrt :,ntking
Iout, City Deeigr.ated Job Nunbet' fs:.
PR)CSDUPE FoR INSPECII0\| ngQUEsT:CALL7
eadY fon
SITE INSPEC'I'ION: To be made after
*;at;ilon,-but pricr tc set up of
forms.
UNDERSLAB PLUt'p! N C- ELlelllllL I
MECH{IIfCAL: To be made before anyffit'lii)oet ed.
Cbiitnated job
ncne'ind plone
INSUI,A'|' ION / VAPCIR I]ARRIER IIISPEC?ION :
To be made aj'ter. aLL insulaticn-ad'
required vapor barv'iers are in place
but before any l.ath, gypsun boarC ot
tnLL cooering is applied, and before
oty insulation is concealed.
dau.Eqns lo 2-
of incpecli.cti
befcre 7: C0 c'i
BU.
Sanitaty eaner capped at property Line
Septic totk punped and fi.Lled uith gnatel
Final - ihen abcue itens a.re ccnpleted
and uhen Cqolition is complete or strur-
tute moued od, ptenrtses cleaneC up.
uNDlRGn1UllD PLUMSTNC, SgttEl?2 \IATER)
Onetaect: 7;o be raCe pt'ior bo fil'
Lir4 trenchec.
l-a uaomrLooR pt,tJt.llINC,u t.tticltANtcAL:
l) @,-lititrtonof
floor insulction or decking.
POST AND BEA\I: To be nacle Prior to
iGldTtilf,-i-of fl.oot insulation ot'
decking.
ROUqt Pr,ulBllc. ET,ECT!?!(:A!, ,q ilqcil,:
anfcAt,: No uork is to bc cocereti
ffiiT-these inspectior:s haoe been
made and approued.
$!.EeLAeE: IYiot to plccirg facingma;;iAG and befone -franing inspee-
tion.
Wru: ltust be requested affe)
approoal of rough plutrbing, electri-
cal E nechanieal. AL! r'oofing
bracing C chitmeys, ete. trust be
cotnpleted. llo ucrk is to be con-
cealed until this tnspeetion las
'been nade anC appro,^ed.
DRYtlALt, INSPEtrI)N: Tc be nade
afran-an ,b,UtaLL i.s in place,
but pnior to cny taYing.
MAS0NRI: Steel Zocation, bond
Gifrilgrouting or oe?ticala in
accondance vtth U,B.c. Section
24 15.
|,\OODS'\OVF:: Af ter installation ia
ccnpLeted.
PC)TINC I FOUNDATICN: ?o be naCe
after trenches are ercauated and
forns ate erected" but pnior to
pouring ccneret€.
FTilAL PLUMBIIIG
FTNAL I4ECIIATIICAI,
FIIIAL ELECTRICAT,
CURB & APPBolqllJP!9!: After fonnsa?e;recT;i-i;;prior to pouring
concrete.
SID\I,IALK & DRIIlEl,lAy: Por all coft-
c"et; p"rr6Gm; street right-
of-DcA, to be made aftet' aLL erca-
oating canplete & forrn uork & sub-
base nater"Lal in plaee.
IENCE: hlhen conplete -- Prouide
gates or nooable seetians through
P. U. E.
ALL pro;ject conditions, suc!', as the instaltation of street treea, cinpletion-of the
requined Landsccping, ctc,, mtst be sati,sfi.ed befote the BUILDING FINAL ean be requested.
:tIN,4L BUIt,tlINc: 'lhe lti.nal Building fnepection mtat be nequested after the Fi.nal Pltnbi.ng
\J Electrtcal, anC Meehanical fnspections hqDe been nade atd approoed.
w
Tot Iot ll
Phone:
Ceneral
ttobiLe
Blocking at'td, Set-:tp
Pltnbing connecti.ons -- la)er and uctter
Electnieal Ccqnection - Blocking, set-u=
and plwnbing eonnections m;st be apprcvei
before requeating elec'-t'tcal inspec lio:z
Aceeasory* Builcing
pcrches, akirting, deeks,
leted,
Final - After
etc. ate eonp,
Pelte 1 of !tAL!, ttntttt)r,Es AND CT,EANOUTS ttttsT BE ACCESSIB|,E, AD,IUST\\E\|! T0 BE I'|ADE Af ll0 CCST ?0 CPy
t-l
t--l
tr
D
\0 ^0n(
)
'(-
J
I
,L L.CO d
l]!,.Jrootns:OLAR A-<CE S S REQ'-
JOB NO.
i',onc
r.st
This permtt is granted on the ecpress conrli.Lion Llnt the sittd construcLion
ahall, in all respects,"'"oiiii'to-li,e c,'di'rn'ice edoy'teJ liy t'he cit'y of
sp*irrgfl"u, inctluding' the \oning crdinance, regulcti1, tirc catstr'rcti'cn
ind u-se of buildirqs,- and may .be suspend.ed oy reuokei at ctty time upon oic-
Lation of any pncuisions of said 1rdinanccs.
?O?AL VALUE
Eui.Lding Pqnrit
Date Paid
?otal Clangea
P
VaFTCrrE[!
*
Fee:
State
,Signed:
c
S.D.C. 7.5 t
Lot Faces -
LoDe
TfrT TYPE
_ Interiot
Co?nef
Panhandle
Cul-de-eac
Building Vqlue & Permit
Iot Sq. Etg'
7 cf Lcb Cooerage-
I of StorLes
Total Hei,ght
IopognaPhg
Plumbing Perriit
No pereon slnll construct, inslal!' alter or cltange -6n!l neo-cP ecisting
ptunOing or dtainage slJstan in uhole or in pan't, w.Less such person ie the
iegal pbsses"or of a r;-otid pl*rber's Licensa, escePt that a pe:'son nag 1o-
ptirnAi:"g uork to ptopertlt uhich i-s owted, Leased ot' operated by the appli-
cant.
NO.FEE CNARGE
,l
Sani Seuer
ITELI
Fisturea
Residential (1 bath)
Plwtbing Pemit
State
Total
Electricol Permit
t{heye State taut requires th.dt the electrical uonk be done by an Electntcal
contractor, the electrical pontion of thie pennit shall not be ualic until
the Label has been aigned by the ElectricaL Contractor.
*
Nau/Etterd Circutts
Seruice
State
?otal
IT9M NC FEE CIIARCE
I
*
Mechqnicol Permit
khanst HooC
I,lcodsto;te
Vent F@t
PermLt Issuanee
Meclunical Pemrtt
-- ENCROACHMENT --
Secari
Iulaintc-nancc-
Permit t
Cvrbcut
-
Sida,talk
lcree
ELectricaL L
blobile Hone
Recaipt ll:
PLan Escniner Date
Total
I ttAW CAR1FULLY EXAI4INED the eompleted application for permit, and do
hereby certify that aLL infornution hereoi is true and cotrect, an'C f
furth-er ceftiiy that any ard aLL uork perfomed alall be done in accot--dance tith th-i ordinancZs of the city of Springfield, and the Laa of tha
State of 7regon pertaining to the uork Cescribed herein, cnd that N0 OCCU-
peici uiitt b"e ma\e of any struetw,e utthout petmisaion of the Buitding Di-
iirion. f further c'ertiiii that o:tly conh:ac-tors and lnplcyees dho are in
catpli-ance iith ons 701.05s uiLL be used on this project
^)rN, " '"? " ".. {r).p 7
4
D,z te