HomeMy WebLinkAboutPermit Signage 1996-9-20
225 Fifth Street
Sprin{Jfield, OR
97477
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eNUM.BER 0..\.0\1,(03
SIGN PERMIT APPLlCAT.
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OWNER U+'f.fDn 5 f3io ff 1211- ~1r,n PHONE:
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ADDRESS::05 5cLt.~ B SW..eP T
CITY ::spYI ~-a-PLri STATE: ()rQ~cfYI
BUSINESS NAME, FIRM FOC.: ) J4..:f..:TI5Y1 '",:> i31'a a T ell ~
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TAX LOT:
Inspection Line: 726-3769
Ollice: 726,3759
SITE ADDRESS:
ASSESSOflS MAP:
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541- ILli- Q41C9..
ZIP:
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DESCflIPTION OF PROPOSED SIGNISI: (please check and complete all appropriate information)
~ Wall Freestanding Projecting Roof
~ Single Face Double Face Billboard Other
:::Y_-113"
Marquee
Square Foat<Jge:
Total Height above Grade:
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II' J '?S ·
Vertical Dimension of sign or enclosure:
~l.l 8- )73 II
Horizontal Width of sign or enclosure:
Electrical Installation~ Ves No VALUE
IIf yes additional electrical permit is required) OF SIGN:
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Dimension from Grade
to bottom of Sign Enclosure:
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Material Sign is constructed of:
Ust ALL existing signage and attach 8 photograph of each sign:
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lal Type
Sq. FIg.
(bl Type
Sq. Ftg.
Ie) Type
Sq. Ftg.
Idl Type
Sq. Fig.
CONTRACTOR/INST ALLER:
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ADDRESS d104 .:Te.+tQy.2VV\ S1"
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
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PHONE:
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CITY:
ST A TE(lYea dY)
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ZIP:
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EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
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OFFICE USE
Sign Permit Fee:
4[)9J
Land Use: ~ '&1') Quad Area:
Code Section:. ~ f1- \ C\ (\ '\
Approved By: llJ)(l j tiCV~' V
40 _<?--l tln
Sign District:
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Zoning:
DATE:
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REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~aChment
after fasteners are
installed/prior to cover
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Electric"at
prior to energizing
electrical installation
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Final
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I haye carefully examined the completed application and do hereby certily that all information herein
is true and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
crnn10yces who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation
of the sign!s!.
SiOllu(ure
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Date
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Date Paid: _~~~~
Received By: ^ )
Validation:
Amount Received:
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Receipt Number: