HomeMy WebLinkAboutBuilding Signage 2014-3-31 1 —
SPRINGFIELD
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(54I)726-3753 •FAX: (541)726-3689 /
raa FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Permit
9- 111 City Job Number
- 5/706 76 V
-..cora.i; Job Location 5610 Main Street, Springfield, Oregon 97477
. -•`'ed; Assessors Map_
176Z 33 L1 Tax Lot 0 7C C$ CS
Owner
Na Owner of Property Peter Kryl
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- ( 3474 Spring Blvd.. 541-912-1895
Address Phone
N� City Eugene State OR Zip 97405
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Contractor/Installer
.� Contractor Fundz 4 Kidz
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( 20808 N. Coburg Rd.
�' Address Phone (541) 686-5433
0.--1 City Harrisburg State OR Zip 97446 •
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b4 j Construction Contractors License# Expires
Description Various Banners & Signs for retail Fireworks Sales
6-10-2014 7-15-2014
t Date of Installation Date of Removal
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r Permit.Fee: $115.00
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t Permit is valid for 30 days from date of Installation
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- l 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
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banner(s)and/or portable sign(s)is not larger than 60 square feet.
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off( SignaturP� Dat 3 1
. =( For Office Use
(1]J Date of Application -L/1/� Job# 9V-00 7' q Receipt#2 tl' O7 77
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ea i Issued By _D Amount Collected
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Shared Drive('I')/Building Forms/Fireworks/Christmas Tree Banner-Portable Sign Permit 1-2010.doc
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SPRINGFIELD CITY OF SPRINGFIELD
� - TRANSACTION RECEIPT
225 ngfield.ORe7477
OREGON 541-7263753
811-SPR2014-00764
www.springfieldor.gov 5610 MAIN ST permitcenter(a?springfield-or.gov
RECEIPT NO: 2014000774 RECORD NO: 811-SPR2014-00764 DATE:04/09/2014
[DESCRIPTION '° v,-.•-_ACCOUNT CODE/TRANS CODE 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
(;_PA.-. ,. `... AMOUNT PAID ,!:
YMENT_TYPE ";. ,PAYOR�. 'cnswER:DeowLSex. "- -�� ,r' COMMENTS :-- . �:-., -. �. � - �
Check fundz 4 kidz 115.00
1122
TOTAL PAID: 115.00