HomeMy WebLinkAboutPermit Signage 1999-1-4
SITE ADDRESS: .~~.;> W;
ASSESSORS MAP:
JOB f\JUMBER
~p't') OD C\
SIGN PERMIT APPLlCA TIOJ\'
225 Fifth Street
Springfield. OR 97477
Inspection Line: 726-3769
Office: 726-3759
ADDRESS:
TAX LOT:, U~~!)[)
PHONE: ~,/ - 7 386
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ZIP: 97 ~77
,
OWNER: In J /l.. R c:.. e-
CITY:
BUSINESS NAME, FIRM EiC.:...
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
~ Wall Freestanding Projecting Roof
Marquee
~gle Face
Double Face
Billboard
Other
,
Square Footage: ~ff7l..o'L I~
Total Height above Grade:
I a../
/ ~'1
7-7~
I () (
I
d.c- I:I6ritQ d~ign or enclosure:
Electricall~on: ~ /NO r VALUE
(If yes additional e tric~1 oem>>t1Srequired) OF SIGN:
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Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
~ &I~
)qY' -
Iro V .
Material Sign is constructed of:
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-"11/1~ ~~. ~&A O'N~ PHONE: S ~.2.. - 1 ? C ,
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STATE: O'~-1..o ~J!)8~~ ?V'r!r~
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EXPIRE~/.~)- 1J'1:~"?
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EXPIRES: 47~31@~ 9 7'
List ALL existing signage and attach !I g~~e-l' of each sign:
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(a) Type ;pO \a.'lJ 3 ~~~G93e\ \O_L
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(c) ~\\O. ",c\oQ\e\~nse tU~(j)~''': f,\\\eS '0'1
po. ,.1 tu\I:::" ..:^....\e'. ^ .",~oU~ o~\~~' '-O{\e
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. ~ _,<\\\ca.\\U1' _OO'l.-V" '{\ CO"" \'n.e...'f\W,,:~\Ca.\\v"
CONTMcrilit1.tlQST~~\a.\ :MW ~(,,'\~ /?~".3 .5i >NJ
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ADDRE~9vj~F~ ~~ \~~~()_'3'3~ 0 -,C c;
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CITY: {\~ e.0~"i!!~
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
(d) Type
,r-
CITY BUSINESS LICENSE NUMBER:
'1'(j JeFf
Sign District:~~
Zoning: (t) ~
4f)R>
OFFICE USE
Land Use: ~) Quad Area:
Code sectiof:. I A /140.. (, )
Approved BY\!.Dl..,V~ ~ D
\~!'Jet J
Sign Permit Fee:
DATE:
[,tS.q?S
REQUIRED INSPECTIONS:
/ .
Site Footing Attachment ~ Electrical ~al
to be made prior prior to placement after fasteners are prior to energizing completion of ~ign
to sign placement of concretes.. t) ort"?jJ='illto 0:~r~~I~ic(alJ\in:a~lIation'" instal~~t^n^ , CYI) \
Addit~, nn~al ~O_~~;~/lo .r ~nditi '11 PJJ J<(J-.--y l...L.lLLJ y L..4 J LUJ 1=-./
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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 work 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 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).
j/r; t ?Jfv. ~ ~7?
Signature
Date t - ~ - 57 57
Receipt Number:
4.00
~1l()
Date Paid: r _ {...lo~
Received By: r;i~
Validation:
Amount Received: