HomeMy WebLinkAboutPermit Signage 2013-6-3 SPRINGFIELD
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET • SPRLNGFIELD.OR 97477 • PH:(54 11 7 26-3753 •FAX:(541)726-3689 H\ *
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r 1' Description 1---b $ ter) u
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et i Date of Installation /o�� Date of Removal 7/ /3
/�� Permit Fee: $225.00 including$100.00 Deposit and applicable fees.
ra.tt By signature,I state and agree that I have carefully completed this application and hereby certify that
.--.4 all information herein is true and correct. I further agree and understand that individual banners and
portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand
••1=4I) that temporary signs shall be removed within 30 days from the date listed above. If the temporary
rc& sign(s)are not removed within the timeline specified, I will forfeit the$100.00 deposit. I also
understand that this special permit can only be issued four(4)times per calendar year per development
area. I also agree to call the inspection line at(541)-726- 769 by the end of the 30th day to request an
; inspection to verify the remov.. • e r -nary sign . s inspection will begin the process to
`r � return the$100.00 deposit thltrS' • (s) :ve b•-n removed.
Q) Properly Owner Sign, ure / / ��'i�� - - Date _ �/ 3
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Date of Application v/ 73 Job# 513 -0113 S� Receipt# 7A13 -/03"1
e—t Issued By i cZ Amount Collected 0-2 S
Shared Drive(TO/Building Fwmyremporny Sign Penn!CSD 3-12.doc
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,Oft 97477
541-726-3753
.OREGON 811-SPR2013-01135
www.spnngfield-or.gay 3260 GATEWAY ST permitcenter@spnngfield-or.gov
RECEIPT NO: 2013001084 RECORD NO:811SPR2013-01135 DATE:06/03/2013
_L ,'ACCOUNT CODE/TRANS CODE SK- .__AMOUNT-DUE :3
Admin fee(10%of applicable fees) 224-00000-426605 1098 20.00
Banner, Portable 224-00000-425602 1065 100.00
Banner, Portable Deposit 821-00000-215500 1049 - 100.00
Technology fee(5%of permit total) 100-00000-425605 2099 5.00
TOTAL DUE: 225.00
oPAYMENTIIWERaN AY,OR CASHIER OrailSev. g_8W COMMENTS ,. - SAM KINT,IPAID
Check oregon horse center refund to: oregon horse center 225.00
10340 - 90751 prairie rd, eugene OR
97402
TOTAL PAID: 225.00