HomeMy WebLinkAboutPermit Building 1982-7-1
.. RESIINTlA'L"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 '
o...~I}L~o'o~. '.r
Addre.s: U l? (o?' rY'v1 ,. n~Z~l:one: f\)() ~
SDJ-..J . J
City: ~ Tr~- Zip: ) Ji(jf51.0
Addi ticn
n Remo.:.eZ ~ )
n Sigr.ed. ,f\/1
,'!oo-::l.a .70ma ~ n ,)(' -,
Dat. of Application Value Date: "~..~c.l ( 1. \L.I. (\ \Jpl::o{)n~
~:::::to~_~ Addre.. Lisc.N .--"' , _
Plumbing , '...*,
ElectricaZ
Me=i1ar.ic~ 1.
;. "
.
Job Loc;;ztion: '~'FjJ (
Asa..oors .Vap # \1 ()?-'?--J '"'
SUbdi:J-:.sion:
CO"8t~ACtion Lcnde~
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SPRINGFlEI..D
!
mil ill tir9k
T= Lot ,~ 0\ l\rx-j
u\
.
Reee.:;?!; ,i!
F.q~&>-;
I.. d
.....
~
~
rea..::a.=:a I
Ie is ~he responDibility ot ehs permit holder f;O sse that; aU irwpectio1'Ul CU"e made at -:he ;;ro~81" tim~, that ~h dd:rsss is
ll'Ol'f/ ths street, and that the permit card is 'l.xated at the front of the proper'ty.
A8ui!di!".g iXvi=ior: approved Ft.an shell remain on thi; Bu::.t.ding Sit,; at: all timss.
P:?OCSDURE FOR INSPECTION REOUEST:CALL 726-3769 (recorder) state your City designated J'ob nz.a:=ber>, JOO aCCJ"CS3, type of inspec.;icn
r(]quested a:"".a when you wil.l. be ready for inspection, Cont1'actct's at' Owners ncme end phone numbcl'. Requcsts l'ecei:.:ad befcr~ 7: DO ..::'l
:.>ill. bs tr:ade the scme dey, requests made afta' 7:1)0 ~ !Jizz. be nr::de the nut :JOl'kin; day.
~~m'~:''''Prl_ T"'~~"'1":~,;..,q
O SITE INSPEC':ION: To be made
e::cavation, but p'l"ier to set
forms.
o
after
up of
UNDcRSL~B P[~~~I~C, EL~C7gr~1C ,~
,~tECHA:1ICAL: To be IT'.ade bejol'e any
work is ..:ovcred.
o
FOOT !.VG ~ FOU.VDA T Jell: To be mo..d.s
after trenches are excavated and
ferms are erect<1d, but prier to
pourir~ ccncret6.
U.YD~GROm!D P!'V,'fBING. SEWER. ;;,1TE.l?,
DRAINAGE: To be rrr:z.::;e prior> to fH-
7.ir.g :renches.
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lnIDE.~FLOOP. P!.UgSIYG ~ NEC.9ANIC:"r.:
To be maC.8 prior ~o in3tal.Zati01l: of
fZ.oor insul.ation or decking.
POST AND BEAU: To be made prior to
instaUation of floor insuZati01l: or
decking .
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FiOYGH ?!.lr.fErlC. gr.EC":'RICA!.. ,~ ,\fECH-
ANICA.L: No :..lOr.":: is to be cOt,'ered
ur.til these insoectior.s have beer.
made ar4 approv~~.
FI:~EPLACE: Prior> to pk:c:ir.g feeing
materiaLs and before framing inspec-
tior..
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FRANnIe: MU3t be r>equeoted after
appr>oval. of rough plwr.bing, eLectri-
caL If mechanical. ALZ roOfing
braC'ing & chir.rnt:.ys, et.:. rrr..lst be
. completed. .'10 work is to be con-
. cec Zed unti l this inst:lection nas
. b6.~ made and approl.'ed.
lour City. Desigr4ted Job ~~~ Io:
O INSULA'1'!ON/VAPOR BARRIER IHSP~CTIO,v:
To be made after> aU insul.:;ti.:m ar.d
'. rcquir>ed vapor carI'ier>s a::re in place\
. but hefer>e any lath, gypsum beard or
!.Xll.z. covering i.s applied, cmd befor>s
any inaul.ation is conceaZed.
DRY'KALL nlSP:;CTrON: Tc be made
after c Z 1. Cr;jlJa Z l is in place,
but prior> to any taping.
O MASONRY: Steel Location, bona
beam3, grouting or> verticaZs in
accordance '..J":'th (j.B.C. Section
241$.
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WOODSTO'IE: After installation is
ccmplet€d.
X 'd.()i1<O
I DEUOLITION OR ,'.:OVE; BUILDI;.'GS
~ Sanitary Se:Jer ::apped at ~opcr>t:i Zir.2
:J Septi.= tank p....~~d C"J"'.d fi.Z1.2-c :.lith ;ra~8t
~ FinaL - rfhen a.bcve ite:~:s are cc,7r:)Leted
.1 ~ .... .. 4.....
ar~ when ~e~t~~~r. ~8 campte~e or> s~~~-
ture moved ar~ ?r>~:'3es ::lean2:i ~?
I Mobile Hemes
and Sat-:J.p
connecticns
saJar and z.;c-:ar
o
CURB & AIL.TJ.r:WACH APR.ONo' Afte:o foms
are arsctld. but pr-':'or to pouring
.:o~~:;T-
SIff!WALK & DRIt-'EWA Y: For> all con-
crete paving ~thin street right-
of-way, to be made after> at! exca-
vating ccxrrplet9 & f'om wrk & sub-
base :nate2"ial in place.
ElectricaL Ccnr.ection - Blockir4, set-up
and plumbir.g conr.ections r.r...st te ap?r~ved
sfor>e r>equest~ng eZec=rical ins?ec=io~
=:J Accessor--,,' 3ui i.d.ing
---, Firul - Aft;:r> ;~r>c.r.es~ s;dl'ting, deck3,
--.J et.:. a:re ccmple:~d.
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AU pr>o;;'ect cor:di;iaY'.s, 3:J.C':-: as the ~',ns:az.zc.-r;ion of s:l'eet tr>ees, :c'7Za~~.Jn of' tite
r>equir>ed Zandscc.pir.g, etc., tr.Ust be satisjied o;:for>e tr.e 3l/ILDI:lG FINAL ~c.n be r>3qu~St3d.
o ~r;oIlIAL PLUNBI:'lG
o FINAL NE~HA,'/ICAL
o FINAL ELECTRICAL
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FINAL aUILDING: 11:e final 3uil.ding Inspection rml.8t be l'eO:.A8Gtea c;T~-;er' the ~':'in:::.l ?z':J.r.:bi,....:;
Elec:l'icai., and ,vechcr:icc.l btspect-::cn3 r,aua been made ar.d c.pprov,td. '.
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!'nlCF:: ;{hen camp l.;te -- Pro:Ji.d.e
ga"Ces or :1Iovab l~ s6ctians tr.rough
P.U.E.
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"ALL NAt'IHCLES AND CLEANOUTS :ruST aE ACCESSIBLE, AD,iUS::7.'/'!'TO BE :.~:1DE !!T :/0 ~:s: :0 CT!Y ?c;-;e
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JOB NO.
Zone:
Lot Sq. Ft;.
: ~f l.:;t CJlJsragt:
# of Stories
TotaZ Height
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I Topogrcrpity
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I SQ.FTG
,~kIin
~ac~
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l~~o!'~
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l.4.c~esso!':J
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Is.D.c.
TOTAL VALUE
I :;CI.UC)
1.5 =
Su.i lding ?e:rmi t
State Surchxrge
Total C1-.a:-ges
P::.ga 2
SOLAR .SS REQ,-
Oe::u::;anc:J Grou::;:
IITr.v NO" FEE
Fi...-tz,aoes
Residential [J bath) 1
i Sanit:.:%:r'-.J Se'..J81' I
r.'ate..~ ./
PZ:unbir.g Pam t
Stata Surcr.lU"ge
Total cr.a!'aes
'ITEM
RR8. Sa. fto.
NiiW/E-""ter.d Cil'cui ts
I Temporary Service
I
El.e~t1"'~cal Permit
St.::.te Su.r~ha:t'ae
Total Cha:rces
i NO'1
I I
I I
I '1
lITE,\! :lO. t PEE
I p.,aorrace ETU'S I
I E.::haust Hood I
I Vent Fan I
I . I
I #/ooasto;;e
1
Perm. t Issuc:nca.
.'1e::har.:ic::Z. perr.rf. t
Sta.te Surchc:rae
Tntn.7... crLZ'N1P.!f
-- 211CRCACi:i,~!E.'!T --
j S eC"~ri tu !J2-:xJ3i t
Storcqe
Uairrtll?'tar..:::g
I p"""",t
,
I C".a'bcu~
I Side:,;a!k
I :'en:::e
I SZectr{,ca.!.
,
i /ofobiZa n:Jme
Total C'nc:raes
Lebel
I TOTAL. ~VOU.'lT
DUE:.
WTTYPE
Interior"
Corner
Panhandle
Cut-de-saa
X Value
CP.ARGE
:EE
IS. c.XJ
I ,(001
I I S. t",c)! .
I CHARGe i
I I
I I
I
I ().OO I
" .4'0 I
/() .C/'11 ,.
CHARCE
J() I
~c::, a::J I
(() / .' f}-0
I
T":Jpe/Cor.8t:
I
3e6>oo~s:
I=:'nerau SO:a'~8S
. Heat
ilatqr PP-Clt:>.'!'
Rar.qa
?.;.r8Dlc.ce
Woods;OTJe
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'L-COG~
I Lot Faces -
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I 2.L.
ItlO1'o;11
lEas!:
ISou!:h
. lWest
T;r~e
Se::ba~ks
Hcuse I Caraae
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I Access.
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Fees
Building Value & Permit
This permit LO granted on the express oondition that the sdid.construotion
shalZ~ in aZL respeots, oon;orm to the Qrdinar.o8 ~dopted by the City of
SOM.ngf"-:.eld. .;.r.cZudina :ite Zonil'A Crdinance. reculating ;he ocnstI"'~~:";cn
~~ us~ of buildir~s~vand m~y be~su$pended or r~Joke~ at cr.y time upor. uic-
lation of any pr.?ui.a.;.ons of sa-:.d Ordir.an.ces.
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I Plan Cheok
Date Pa-:.d:
I R~cdpt .~:
S'1I"ed:
Fee:
Plumbing Permit
No person ahall OO7tStruot.. ins taU.. alte:- or ohange en;; r.e1J cr e=isting
plumDing or drainage syste:n in :.;hole or in part, w:less such person is tr.s
legal possessor of a valid plumber's lioense~ except tr~t a person .~y do
plumbing work to property which is o:..,-r.ed~ l~ased or operoated by the appli-
"""t.
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Electrical
Permi t
Where State LCDU requires 1;r.a1; the electrical /JOrk be done by an EZe~trical
Contractor~ the electr1'cal portion of this per.mit shaZZ r~t be valid until
the label has been signed by the EZecrncaZ ~ontractor.
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Mechanical Permit
Plan. .:x....--m.ner
uata
I HA~ CARS~~l.LY. ~XA.-a:le~ t,..lu3 con:Ple~ed app~::caticn tor permitJ c:nd do
hsrsDY C8Tt~jY :nat all ~~jo~a=ton ner'eon ~s =rue ard correc:~ cr~ I
fJJ'ther ael'tily that any ar.d aLL IJOrk perf"o~ed shall be do:-:e in acC'o1'-
dance :.;itit tite Ordinar.ces oj the City oj Spr-:.ngf.;.d.d.. and th~ &:::.;i3 of ti:.o
State of Cregon p~r~ining to the work desCTM;bcd herein~ end tr~= YO OCCU-
PlllCY will 06 roads oj cmy st"Z'Uctura tJithou.t p3rmis3ion oj the 3uilding D";-
vision. I further aerti.f':i that o-:r.ly cont1'actors ar.d e::rployees who are in
compliance ~th ORS 701.055 will be used on this projsct
~.I: /, . t1. #: .. ~
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IJ- /- fL
Date
.. 'RESI'NTlA'L"
APPLICATION/PERMIT
225 No~th 5th St~eet
Springfield, O~egon 97477
Building Division
726-3753
SPRINGFIELD
Job I:.ccation:
\~Lo~ ,-...N\r\1 f\ ~~4~
I 7 0 '3 '3 5 2..} I T= Lot # 0 ~ '7 Q 0
~er~ ~,(\y~
Addres"C\(,)La~~ ~\;O..lialctnone:
Ci~~.l~~, (\ I~ 1 ~
n ,V"'J
n Addition
n Remodel
r---l :~b~Z~ Homa
ASDeSGON' .1.fap /I
Subdi:J-:.sion:
Zip:
\O~~- toL\~
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~~ 0l:.\1~~l\ '
Datoa of AppZic~ticn
r.;ont"rac::ors
'u.
l f...t.J n~
General.
P1.wnbing
i ElectricaL
I
Me::har.ica1.
Const~Acti~ t~nder
Value
ACdres3
.
Rcce-:pr: ,if.
!"'\'::J B- K' !
-
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I
Lise. ,;;
,-~~ 8-.
DatO' l .j u
r - ,
"-- ...ires Pr.onc t
!: is :ne l'flsponaibi1.ity of ths permit holder to see that' aZZ. iru;pections are ,,:,:a.de at-:hs ,;ropel' ti.nll~, that ~h .:;ddress is re",,':,";":a
from troB strest, and thc.t the permit card is l.ocated at the fl'07!"t of the property.
.Eui?di:".g rr;uici.o:-: apP:OOt:ed plan shell l'ell".ain on tha Buildir-{l Sit~ at all tUnss.
Pt?OCSDUF?e FOR !,'/SPEc:'IOH RSOUEST:CALL 726-3769 (l'ccoree:rJ state your City .:iesign.:1.ted job nur.:berl job adtiressl type of -:..r.3pec=icn.
l"rzquestcd w.d uhen. you ;.:ill be ready for inspcedortl C07ltraetors or OI.mez-s ncu3 end phone r.ur.o.Dcr. Requests receit:~ before 7:00 .=.;
:..'izz. be r.:ade the samB dc~b requests mads a~ta 7~IJO cr.f !Jill. 02 rn::.de the nat :JOrking day. 1'Jf\.
. Y_ City, Desigr.ated Job lIuJr.bao 10: 11) dO l'c.J.-)
.Qeaui1'"d r1'!!,;opct-i.cns
O SITE INSP!C':'IO!!: To be m:zde
e=cavation.1 but p~~or to set
forms.
o
alter
up of
UNDERSLAB PLUMBING. ELECTRIC,1L &
NECHA,';icAL: '1'0 be rr.ade before any
work is ~overed.
o
FOOT LVG 5 FCf},VD.1 T IOU: To be r:r:z.de
after trencnes are excavated and
lams ars erectedl but pr';';r to
pourir.g ccncre::~.
U.\'DSRG,Wmm ?!.V,'fEING.. SBlEH.. W.1.T!F/.
DRAINAGE: To be m:z.::.e prior to fH-
"Lir.g trBnchas.
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UNDE.r?FLOOR pr.m~DJG ~ NECEANICAf.:
To bs mada prior to installanon of
1100r insulation or decking.
POST AND BEAM: To be made prior to
install.ation of ftoor instola-tion or
dec,<.inq .
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ROUGH P!.[r.~E THG, E:[,ECT-'?ICA'!. !. MEC,9-
ANICAL: Yo ~rk is to oe covered
w:til these --:'ns'Decticr:s ;...:;VlJ beer.
made and app~?v~~.
FI.~EPLACE: Prior to plaair.g fc.c.:..r.g
matarial.s and before Jraming inspec-
tior..
F.WfIllC: Must be requested afte~
approval of rough plur..bingl electri-
caL & mecr.anical.. An roOfing
braC"':'ng ~ chimru;ysl et~. lTT".lst be
. comp~etcd. ,'.'0 wo~k is to be ccn-
. ceaLed until this insoeotion has
'bsen made and approved.
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INSVLA'1'!ON/'1APO.9 BARRIER D1SP~CTIO.v:
To be made after all insu~atian w.d
required vapor barriers are in place
but before any lath, gypsum board or
loXlLZ. covering is appZiedl and before
an.y insulation is concealed.
I D'ElfQLITION OR ;'.,'Of/!; 3UILDI,7CS
=:J Sat1.i:ary se'.Jer ::apped :;t r:..opcrt:i lir..3
=:J Septi~ tank p~~cd a~4 fiZZ~d ~th ;ra~e~
::J Fina~ - rrnen a.bcve it.e:~s are cc..~::let€:i
ar.d ~hen de~l.itior. is c~tete or s~~~-
~~e moved ar~ pr~~3es ::Ze~ed ~?
~e Hcmes
\~alOCking and S~t-~p
~ Plumbing connections .- s.wer and WC:2r
, Electrical. Connection - Blockir41 set-up
and p~wnbing ccnr.ections r.r..;st :;8 appr::it;ec
before pequest~ng etec:ricaZ ir.spec:io~
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~ AccessoZ"";:r' 3uild~ng
::J Fin:=l - l.ft;:r ;:;rc;"o181 sk::rt--:'ngl
eW. are ccmp~8:;:d.
::'2::.'<-3J
O DR~'/ALL n;SP~CT:!ON: Tc be made
after all dryuall is in pZacel
but prior to any :aping.
O MASONi'fY: St~el locationl bo1td
bea:n31 grcu::1.ng or verticaLs in
accordance ~~~h U.B.C. Section
241$.
D
WOODSTO'IE :
tXmple~ed.
After installation is
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ALL projec~ conc~:~C~~1 3~C~ as ~he i"s=alLa~ion of s:.reet ~re8SI ~~~~c~~~n of ~he
requir-ed landscapir:gl etc. I must be sati.sfied before tr.e aUILDI.'iG lI:/AL\, ~an ~e PZquElS-c3C.
o FINAG PLUMSge
o FINAL ,'.fECHA.'lIC.U,
o FINAL. ~!.SC':.ruC':'L
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PINA.L aUIl.DING: The F~naZ Building !r:s?6:ction ~.lSt be req-...etHed -;ftsr :.r.e .";'in:::.~ ?!;L~:;.ir.::
EZec:ncal.l and N8cr.cr.icc.! Inspecticn.a ;..a1.l0 been mcde ~.d :::n:rcved.
o
CURB & APPROACH AP.~N: Af'te-:o forms
are erected but prior to pouring
.:o~rete.
SIDEIIALK & DRn'FJIAY: For all con-
c:'ete paving :.Jithin street right-
of-uc.::fI ::0 be made after all e::ca.-
vatina ccmole~e & f'Ol':'il work & ::;ub-
base ,T.c:te~al in p.l.a.ce.
"AU MAl/HCLES AND CLSANCUTS .'lUST BE ACCESSTSCEJ ,4D.JUS7'.;~:!T TO 32 ,\~ADE' !:T :~'O :~S'I' ;0 CI-:"! I ?~;e of:2
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fENCE: Kiter. co:r.pl.~ta -- Pro:Jide
gates or movable aecticns :r.:rcugh
P.U.E.
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I JOB
1 Zeme:
No.8'd.(')7QOOlAR eESS
Lot Sq. F~.
: ~f lot C.:nJerag~
.iI- of Stor"~es
TotaL Height
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I Toposra;;ny
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II':!'E:M
SQ. FTC
,~!ain
~ac.?
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;[:.;:.1'"'::('::'->:
I.
l"'C~€S30!":J
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Z'OTAL ~!ALf./E
Is.D.c.
1.5 :
I:JC:.Uf:;
Building Pa..m t
State Su.:rahzrge
Total. Cf-.a:>ge3
I IT::.\f
I PL~.,;:'es
I Residential
NO./
(1 bath)
I Sc:r.i t.::.1"'J Str..Jero
:'c~e.."
?l:.;mbir:g Per:::i. t
Stata Su.:rcr.a:rge
TataZ cr.c:!'''.JGS
lITE:.}
1110.,
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Res. Sa. rta.
NGW/E=tar~ Ci1"~~its
!Temporary Se~Jiae
I
E~at'f"'7~cat Permit
St.::.te Surc;.,a....oe
TotaZ c;!a......ces
I:T~M
, ,~C. ;
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Furr..:!ce ETU' 5
E=haust Hood.
I Vent ?an
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I ;';oodsto::e
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Perrrr;t; ISS"UCr.ca
."fecnar.ic:::.L Perr:r:.t
State Surchc::o-::te
1't'lt,-:l r:1-trrry'UJ
EllCRCACH,'.IE:IT
lSe~~~;tu 'e~o3it
I Storcge
I ,'1airr.;!;er.an.cg
I Pe..wr.r;t
I Total. C"IIC:l'~1(!S
/C-,U';CU::
IS" ,.
I t.e.e:.Ja..i(
I ~en:;:e
i E'Zeaw;aa! ,,==eZ '-i~""
,
j .\fobiZa Hame
I :OTAL AMOU.'!T
DUE:.
Oa~:;ar.cu Gro.J.~:
LeTT:!?!
Intericr
Corner
P~le
Cul-de-sac
x
Va'Zue
FEE
CE4?CE' I
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1..5.CXJ I
.(001
1/~.[oOI.
I CH"""GE I
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/0.001
.401
/0. "Qj .
C!lMRCE
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ul .
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.M
I ~~:5.00
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10/, .M)I
?:::.ge 2
R EQ,-
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3e:irooms:
l-COG~
T~'rJe/Ccr..st:
I [,ot Fa.ces - I I E'!Ierau So:ao~es T:;=a
I Se-:ba~ks I I .::eat
I P.!'. Hcuse I Ca:rc.qe 1 Access. I I ;.later :J~at::!!'
Ulor~it I j I Rar'.ge
l.;:Ocs;: i I I .;'-:roeot.c.ce
IS-ouch I I I ;{ooa.;;;ove
IWest I I
Fees
Building Value & Permit
This pe~t i3 granted on the express condition that the sdid.construc~ion
shall, in aZl r'espects, conform to the Drdinar.ce adopted ~y tha City of
Spri~~fieZd, ir~Zuding the Zoning Crodinance, regulating ;he ccnstr~~ticn
ar~ u~e of build~r~s, and m~y be 8u3pended or revokec at cr.y time u;or. vio-
lation of cr.y ~:rr:iVi3ior.s of said Ordir.ances.
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I Plan Check F'P.(l"
I Cate Pa-:.d:
IRea<,". #:
IS-:'i1"ed:
Plumbing Permit
No peroson shall construct, instal!, alte~ or change an~ T'~~ cr e=isting
plumbing or drainage syste:n in :Jhole or in pa:rt, unless such person is ths
legal possessor of a valid plumber's license, except:. tr~t a pe~son ~~y do
pl-w::bing :JOrk to propert-:! which is m..-r.ed, leased or operated by the appLi-
cant.
,/
Electrical
Permi t
Wh.ere State Law requ.ires tr.at the eleatroical- /JOrk be done by an Ela::triaal
Contractor, the electr1'cal portion of this ?e~it sha~l not be valid until
ths label has been. signed by the Electrical ~ontraator.
Mechanical
Permit
Pl.an ::zcm1..nel'
JJa::a
I HAVE' CARSFUU,y ~~"1I:lr:D t.1e coryleted application for ?el'm";t, c:nd de
hereby certify that all i~fo~~tion hereon is ~e and corrcc~, ar~ I
"wlrther certify that any ar.d aLZ ~or/(: perj'or::-red shal.! be do:-:e in accor-
dance :.Jith the Ordin::nces of tr..e City of 3prf-ngj:.d.d, and tiu; [,(;"":3 of tr.3
State of Creq~n p$r~ining to the work des~;bcd herein, ar~ :r~~ YO occu-
P~WC'! :JilZ oe ro.:a of any 3~:-UC:-:u'a witho:.t: p3~.s.sior. of the 3uiZding cr~-
vision. I fu:t'-=r.er ~e.."'tif:i ::}o.a:t or.ly contrc:ctors ar.d ~7...:;ye~s :.;1:0 a.."'a in
com?l~ance ~th CRS 701.055' wiLL be used on this proj2c~
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