HomeMy WebLinkAboutPermit Signage 1997-5-23
SIGN PERMIT APPLlCATlr"l
~
~FNTf.NA./IAL
\lUMBER
q~j5-7
225 Fifth Street
Springfield, OR 97477
Inspection Line: 726-3769
Office: 726-3759
lOCATION OF PROPOSED WORK: S5S" ~
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ADDRESS:
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OWNER: (!.~N'AL ~~ ~C-. PHONE: 5'-11. ~s;t- i../I'''-
&,) 111 .tiz.o3
Oft. ZIP:' Q7'701
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N.W.. ,WALL st:
ASSESSORS MAP:
TAXlOT:
CITY:
STATE:
BUSINESS NAME, FIRM ETC.:
DESCRIPTiON Or PROPOSED SIGN(Sl: (please check and complete all appropriate information)
-X- Wall'
X Singl~ Face
Square Footage': .
Freestanding
Projecting
Roof
Marquee
Double Face'
Billboard
Other
173.. z..s;-
''27 I
, '.
" " L II
7 -0 ~ 'yntal Width of sign or enclosure: :l..lJ Q
Electrical Installati n: ~\s' No l.JC), (')(2.
(If yes additional er 's requiredl VALUE: ~{, 77- ~
Ut:)(AN. V /lV,/ L_ ':LlJOQF.sutAJT lA/~P<
. I "
Total Height above Grade:
Vertical Dimension of sign or enclosure:
Dimension from Grade 1\ I
to bottom of Sign:.......O
Material Sign is constructed of: .s~1l.1l...( ~J
list All existing signage and attach a photograph of each sign:
(a) Type
Sq, Ftg.
(b) Type
Sq. Ftg.
(c) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/INSTAllER: XMAb<L. N1fnO^l~._ INC..
ADDRESS: Y44 E. AMery (LU.
CITY: B,ot.SIL. STATE:
PHOf\JE: 1-9:xJ.~9^-~
CONSTRUCTION CONTRACTORS REGISTRA TION NUMBER:
CITY BUSINESS LICENSE NUMBER: 'th D3 BA
fob '/ ~S-
J:U ZIP: B3.71b,
EXPIRES: ~-s.1-9~
EXPIRES: b-"?O-9";z'
A
S' D' , \ \r'Y'C\Ml\ri..L.. (\~ 1M
Ign Istnct: U~\ \l.. \l!ill.lL_
ZOning:' ~ ~ /" U , '
\ill .00
Sign Permit Fee:
OFFICE USE
L,nd U" ~ '1D ,~~'\A'" \ ~ itA ')
Code Section: ,l\ - fl- ~ 111 )
Appco'ed By \~J\(\)\Sbf~v DATE
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REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement,
of concrete
~::chment
after fasteners are
installed/prior to cover
'~ical
prior to energizing
v' Final
completion of" sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify 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 .'0Ior)<. described ,herein. I further certify that only contractors and
employees 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 7-'s loca "" "'j Imnt 'of Ihe pcope, ,nd peeo,ed set of p',ns will 'ema;" on the site at all Hmes dudng the inst,""io"
of the sign(s). ~ d
Signature '. t/l.. Date $-11-9~
Validation:
Amount Received:
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~~~~
Date Paid:
Receipt Number:
Received By:
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