HomeMy WebLinkAboutPermit Sidewalk 2001-8-7
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I Job# 01-00843-01 I
Page 1 of 2
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00843-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 452 Pioneer Parkway West blvd Spr
Assessors Map#: 17033523
Lot: Block: Addition:
Tax Lot #: 07900
Subdivision:
Owner:
Address:
Orman Carter
2470 38th street
Phone Number: 541-741-2818
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Sidewalk
Replacing approx. 25 ft of sidewalk.
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.
SW-Setback
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Public Works
08/07/2001 6367
Value/Quantity
New Sidewalk
Total Public Works
Grand Total
25
Fee Amount
$65.00
$65.00
$65.00
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-- " I Job# 01-00843-01 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 p~y time during a one year period following notice of completion, at the City's
descresci)~~ ( (
Signature
ohio (
Date
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