HomeMy WebLinkAboutBuilding Signage 2014-3-31 SPRINGFIELD
CITY OF SPRINGFIELD, OREGON
1.1[::::1H,
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 */
ria FIREWORKS SALES LOT/CH,RISTMAS TREE LO 3 T Banner/Portable Sign Permit
•c..),' City Job Number 5�7 O 7 3
•. ; Job Location 3188 Gateway Lp., Springfield, OR 97477
>7.„\-e-'14 Assessors Map / 70 3 7220 Tax Lot D 3 30 0
Owner
e
Nj Owner of Property Springfield Skate World Inc.
I a -
°�{ Address 3188 Gateway Lp.. Phone 541-746-8424
til
Ca City Springfield State OR Zip 97477
•
j
Contractor/Installer
. _ Contractor Fundz 4 Kidz
( 20808 N. Coburg Rd.
��` Address Phone (541) 686-5433
HCity Harrisburg State OR Zip 97446
rr��Ol. Construction Contractors License# Expires
ii Description Various Banners & Signs for retail Fireworks Sales
4 Date of Installation 6-10-2014 Date of Removal 7-15-2014
el
Permit Fee: $115.00
Q�+ .
( Permit is valid for 30 days from date of Installation
.a•D
• • �(
By signature,I state•and agree that I have carefully completed this application and hereby certify that
1
all information herein is true and correct. I further agree and understand that the above described
a banner(s)and/or portable sign(s)is not larger than 60 square feet.
•
e!
Signature demi, Date , ; 13/—J4
aii For Office Ussee /
t Date of Application �IV Job# �7 dG 7 b Receipt# 2d�y 7�
Issued By ) 1 Amount Collected //J
, -J
C:—C11. v
Shared Drive(T:)/Building Forms/Fireworks/Christmas Tree Banner-Portable Sign Permit I-2010.doc
•
SPRINGFIELD- CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
7:PC' 7 0' 3:EGON' 541-726-3753
811-SPR2014-00763
wwwspringfield-argov 3188 GATEWAY LOOP permitcenter@spnngfield-or gov
RECEIPT NO: 2014000772 RECORD NO: 811-SPR2014-00763 DATE:04/09/2014
LDEBCiR113110147 .
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
LEAYMENITYEE IAYOR ,CASHIER:DBOPIESBY ',COMMENTS- •. AMOLINT.PAID. .. I
57;dc fundz 4 kidz 115.00
•
1122
TOTAL PAID: 115.00
•
•