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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" ~ \ lc)'D~rw-:) ADDRESS: fB~tD OWNER: (!.~N'AL ~~ ~C-. PHONE: 5'-11. ~s;t- i../I'''- &,) 111 .tiz.o3 Oft. ZIP:' Q7'701 VALUrL. V/Ll..A-~ \~n\f... ~Pr Oc1~'f SbC} B~D 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 tj.\s.c'] 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: \~.~D, ~~~~ Date Paid: Receipt Number: Received By: ~~~:)U(