HomeMy WebLinkAboutBuilding Signage 2014-3-31 SPRINGFIELD
CITY OF SPRINGFIELD, OREGON ...'
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225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 :'..., `"".. t
5i FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Permit
O) City Job Number .5l7 —0O 76Z
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•.1(=i Job Location
4535 Main St., Springfield, OR 97478
�+ Assessors Map I / Q Z 3 2 �( Z_ Tax Lot
QC) 6O o• Owner
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Chi Owner of Property Berakah LLC
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"5. Address 4535 Main St. Phone (541) 726-2886
(1,4j, City Springfield State OR Zip 97478
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Contractor/Installer
. _ Contractor Fundz 4 Kidz
+
Address 20808 N. Coburg Rd. Phone (541) 686-5433
�+ City Harrisburg State OR Zip 97446
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Cm)) Construction Contractors License# Expires
It Description Various Banners & Signs for retail Fireworks Sales
+ Date of Installation 6-10-2014 Date of Removal 7-15-2014
+ Permit Fee: $115.00
ii Permit is valid for 30 days from date of Installation
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By signature,I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above described
+ banner(s)and/or portable sign(s)is not larger than 60 square feet.
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' CZ Signature \� Date•5,C31 fre
( For Office Use
Date of Application /V Job# 1// , a Receipt# 20/V 771
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Issued By U Amount Collected 1/
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Shared Drive(T:)IBuitding Farms/Fireworks/Christmas Tree Banner-Portable Sign Permit 1-2010 dot
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SPRINGFIELD'aaw CITY OF SPRINGFIELD
225 Nth St
T(t. TRANSACTION RECEIPT Springfield,OR 97477
OREGON
811-SPR2014-00762 541-726-3753
www sprngfield-ar gov 4535 MAIN ST permdcenter@springfteld-or gov
RECEIPT NO: 2014000771 RECORD NO:811-SPR2014-00762 DATE:04/09/2014
DEScRQTION 'ACCOUNT bbbitikANStobt AMOUNT DUE
Admin fee(10%of applicable fees) 224-00000-426605 1098 10.00
Banner, Portable 224-00000-425602 1065 100.00
Technology fee(5%of permit total) 100-00000-425605 2099 5.00
TOTAL DUE: 115.00
LAYaNTIYEELLeA1QRL CASHIER:DBOWCSBY = AL cpyilmEiNts, ..g: et!' ,.ja AMOUNTTAID.i;
Check .fundz 4 kidz 115.00
1122
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TOTAL PAID: 115.00
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