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HomeMy WebLinkAboutPermit Signage 2007-7-18 Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Total Amount Paid Total Value of Project Fees Paid I Amount Paid Date Paid CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-01063 ISSUED: 07/18/2007 APPLIED: 07/18/2007 EXPIRES: 01118/2008 VALUE: Receipt Number 1200700000000000931 1200700000000000931 1200700000000000931 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 work day. $4.50 $2.25 $45.00 7/18/07 7/18/07 7/18/07 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon 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 and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~f1;~v/ ( ?rl VI vi ~ q;j/ Owner or Fontrac;;;;;' Signatu~e . $51.75 I Plan Reviews I Reauired Insoections I Pal!e 2 of 2 7-(8--67 Date 225 Fifth .Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01063 COM2007-01063 COM2007-01063 Payments: Type of Payment Check cReceintl RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By SANDHAR CORP City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000000931 Date: 07/18/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1279 In Person Payment Total: Page 1 of 1 11:10:28AM Amount Due 45.00 2.25 4.50 $51. 75 Amount Paid $51.75 $51.75 7 II 8/2007