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 -'1;4::::<..', /
r.y{ FIREWORKS SALES LOT//CHRISTMAS—TIREEE Lot Banner/Portable Sign Permit
•??----11 City Job Number SO -00 `b°
•,4; Job Location 2197 Olympic-S Street, Springfield, Oregon 97477
-l Assessors Map ' 7 0 3 Z J LI L Tax Lot D Z �� -
• r 1 Owner
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C i Owner of Property Polen Development
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1 . '- ( 2415 Main St. (541) 505-7532
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Address Phone ( )
4M City Springfield State OR Zip 97478
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Contractor/Installer
Contractor Fundz 4 Kidz
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;( 20808 N. Coburg Rd. (541) 686-5433
s Address Phone (� )
City Harrisburg State OR Zip 97446 •
rr0) Construction Contractors License# Expires
q Description Various Banners & Signs for retail Fireworks Sales
6-10-2014 7-15-2014
•-r"II Date of Installation _ Date of Removal
Er Permit-Fee: $115.00
( Permit is valid for 30 days from date of Installation
By signature, I state and agree that I have carefully completed this application and hereby certify that
VA all information herein is true and correct. I further agree and understand that the above described
V� banner(s)and/or portable sign(s) is not larger than 60 square feet.
ce .Signatur:a _, -;// ✓, Dates J,3 04
1 For Office Use —7 7 J;
1 iDate of Application 7 Job# 9V-60 7b 6, Receipt# 7AI y 77 e
Issued By K Amount Collected 1/
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Shred Drive(T:)Building Forms/Fireworks/Christmas Tree Banner-Portable Sign Permit 1-2010.doc
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SPRINGFIELD- CITY OF SPRINGFIELD
225 Fifth St
t, TRANSACTION RECEIPT Springtield,OR 97477
" OREGON 541-726-3753
811-SPR2014-00766
www.springtield-or.gov 2197 OLYMPIC ST permitcenter @spdngfield-or.gov
RECEIPT NO: 2014000775 RECORD NO: 811-SPR2014.00766 DATE:04/09/2014
`DESCRIPTION, m CODE/TRANS CODE ;"-: AMOUN1Dit=1
Admin fee(10%of applicable fees) 224-00000-426605 1098 10.00
Banner, Portable 224-00000-425602 1065 91.60
Technology fee(5%of permit total) 100-00000-425605 2099 5.00
TOTAL DUE: 106.60
L.F.M■YMENT TYPE wY PAYOR _. CASHIER DBOWLSBY ?A
SBY ' `t � ; COMMENTS; - > r h.. . t.: -AMOUNTID, i
Check fundz 4 kidz __....... - .____....._... 106.60
1122
TOTAL PAID: 106.60
SPRINGFIELD-- • _ CITY OF SPRINGFIELD
V.,
am:'', 225 Frith St
°I TRANSACTION RECEIPT Spnngfield,OR 97477
` OREGON 541-726-3753
811-SPR2014-00766
www.springtield-or.gov 2197 OLYMPIC ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000776 RECORD NO: 811-SPR2014-00766 DATE:04/09/2014
[DESCRIPTION T'; m_ , • -,,-_�.._- ; '.; ACCOUNT CODE/TRANSCODE iL AMOUNT;DUE .
Banner, Portable 224-00000-425602 1065 6.40
TOTAL DUE: 8.40
LPA—YMEN–T - ,PAYOR. CASHIER:'DBOWLSBY COMMENTS'' ' :'.' , AMOUNT PAID` -'
Credit Card aaron taylor 8.40
719054
TOTAL PAID: 8.40