HomeMy WebLinkAboutPermit Sidewalk 2000-9-5
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Job# 00-01345-01
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Page 1 of2
225 North Fifth Street
Springfield, OR 97477
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01345-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 717 Old Orchard Ln Spr
Assessors Map#: 17032343
Lot: Block: Addition:
Owner:
Address:
Future B Inc
Po Box 7425
Scope Of Work: Sidewalk
Tax Lot #: 2102
Subdivision:
Phone Number: 541-744-2660
City/State/Zip:
New
Eugene, OR 97401-0017
Value: $0
New sidewalk, Empty lot at moment
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a.m, will be made the following
working day.
Sidewalk
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Fee
New Sidewalk
Total Public Works
Grand Total
Required Inspections
Public Works
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Public Works
09/05/2000 3117
Value/Quantity
213
Fee Amount
$67,38
$67.38
$67.38
". · I Job# 00-01345-01 I . Page 2 of 2
. By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein, I further certify that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project I also understand the City may inspect the work described
on this permit any time during a one year period following notice of completion, at the City's
descression,
Signature
Date
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