HomeMy WebLinkAboutPermit Sidewalk 1993-9-14
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9-
DATE
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Il-IAVE CARERJLL Y EXA"1INED TI-4E COMFLETED AFFLICATION FOR FE~IT, AND DO I-4EREBY CERTIFY TI-4AT ALL
INi=ORMATlON I-4EREON IS TRUE AND CORRECT, AND I RJRTI-4ER CE:RTIFY TI-4AT ANY AND ALL WO~FE~ORMED
Sl-IALL BE DONE IN ACCORDANCE WITI-4 TI-4E ORDINANCES OF Tl-lE: CITY OF SPRINGFIELD, AND Tl-lE: LAWS OF Tl-IE
ST ATE OF ORE:GON FERT AINING TO Tl-lE WO~ DESCRIBE:D l-lE:R::IN, AND Tl-IAT NO OCCUFANCY WILL BE MADE
OF ANY STRUCTURE WITl-40JT FERMISSION OF Tl-lE BUILDING DIVISION. I FURTl-lER CERTIFY Tl-lAT ONLY CONTRACTORS
AND EMFLOYEES WI-lO ARE IN COMFLIANCE WITI-4 ORS 10I.os>:, WILL BE USED ON Tl-lIS PROJECT.
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SIDEWALKS CURB
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1:J1,€.ee.7t.'r 71!:? T#E 6467;; ~r 6-rS-<?;-/ /L-COMMERICAL DRIVEWAYS SI-4ALL
'L:? 6!L.Vt!!5?!1= c..."c;;;- !-lAVE S>' TO 8' FLAIRS
TOTAL PE~IT FEE: ~ '/-(, 3D .:fA-Me -;, 3'- 0" STANDARD
-CUT
(1) .(l)(l)
@.1S/L.F.
(
X
)
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/
X'
WALK X'
~
FEES:
,x
....-&tDJ:WALl<:iJ:,RIYEWA Y
,cnli=> ^~ONCRETE FAVING WITl-4IN
TI-4E STREET RIG!-lT OF WAY; TO BE
MADE AFTER ALL EXCAVATING
15 COMFLETE AND FORM WORK.
AND SUB-BASE MAiERIAL 15
IN FLACE
CURB / AFPROAC!-l APRON:
AFTER FORMS ARE ERECiED
BUT PRIOR TO FOURINC::S
CONCRETE.
REQUI~D INSPECTIONS
*' SEE
BOOK
EXISTING BUILDINC::S PERMIT NO. ( IF' AFFLICABLE
YOUR CITY DESIC:JNAiED JOB NO. Isf
)
<=T3
1468
~
WO~ TO BE FE~D B.,..: OUNER CONTRACTOR
CONTRACTOR*' tv I tLlffl ,), /!JtJffllJb. JI!.., REC::SISTRATION NO.*' O(b00b
ADDRESS i 4'10 A-C,4-(!i 14. Gut6€JJE, LJ~ 974-01
, ,
PROCEDURE FOR INSPECTION ~""" '=ST:
CALL 126-316<3 (RECORDER) STATE YOUR CITY DESIC::SNAiED JOB NLJ1:1BER, JOB ADDRESS,' IIC OF
INSPECTION REQUESTED AND ~EN YOU WILL BE READY FOR INSPECTION, CONTRACTORS OR OUNERS NAME AND
FI-iONE NUMBER. REQUESTS RECEIVED BEFORE 1:00 AM WILL BE MADE Tl-IE SAME DAY, REQUESTS AFTER 1:00
AM WILL BE MADE Tl-IE NEXT l1JORK.lNGI DAY
EXFIRES:
Fl-IONE:
03/2/ /q4
&37- '6/0$
OUNER: CL / PF GSU-I<
ADDRESS: 01s0 IBLU~t3€'"LLe;:-
STATE: o/2i?, ZIF: t:J7478
IJJOf;!K DESCRIPTION:
SIDEWALK: f..,,/' CURB SIDE ~
CURB-CUT. RESIDENTIAL .....-
&ECOND DRIVEWAY (&EE TRAFFIC)
REQUIRES AFFLICATION FOR A SECOND DRIYEWAY('T-4.1a)
OR A COUNTY APPLICATION. FOR FACILITY PERMIT (C '38-203)
IF IN Tl-IE U.6.6.
DATE OF APPLICATION
SIc::sNED:
DATE:
'13~/~
1'/'14-7"0:::; :3
I "
SETBACK
COMMERICAL
CITY: .5,P~/ Nc;"rl ELO
Fl-IONE NO. 7~~94C>7
*'
Cl-IECKED FOR DELINQUENCIES
.-
, L? c-. L!1L -J!J..-c-.// C (/ It-C!I'/-!J T La T Z; II2ec.TL'r
JOB ADD~5e, &~( ~ '0 Q UCCA::: L.c...~J ,0 THE €~'T. 5A/11€ ()fJJllJerl<. RECEIFT
ASSESSORS MAF NO.*' /7 - 02 - 3~ ~33' TAX LOT NO. '* 44xD( . CASl-I
SUBDIVISION. CI-lECK
NO:
~
i/~'"
225 NORTl-I FIFTl-I STREET
SPRINGFIELD, OREC::SON <31411
ENGsINEERING DIVISION
OiTICE NO. 126-31S>3
INSPECTION LINE. 126-316<3
~"" '....... ~I '" I I ,....._~ . '-''-'''I 11
CSIDEW..o.:~/ CURBCUT
'A;FFLICA IoN / PER1IT
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