HomeMy WebLinkAboutPermit Signage 1994-6-14
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SIGN 'PERMIT APPlICATIO,.
SpnlNGFIELD
JO.BEn_.___._91{B9LO-. .
225 f-iftll Slr(~ct
Springlield. OR 97477
Inspection Lille: 726-3769
Office: 726.3759
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OWNER: (,;Q. 1-,<
PHONE: 7-Y'? - 79P'
CITY:
STATE:
ZIP: 971/77
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BUSINESS NAME, FIRM ~C.:
DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate .informationl
~Wall
Freestanding
_ Projecting
Roof
Marquee
i Single Face
Double Face
Billboard
Other
Square Footage:
75---
Total Height above Grade:
/?/
Vertical Dimension of sign or enclosure:
,j- ,
h of sign or enclosure:
I
/S~
Material Sign is constructed of:
/
rr (If yes a
P/.~.5//(,
VAlUE
OF SIGN:
CJO
Dimension from Grade
to bottom of Sign Enclosure:
3 j- 06.
Y-
,
list All existing signage and attach a photograph of aach sign:
(a) Tvpe ?d I. L .$/.""" Sq. Ftg.
(c) Tvpe Ill! A 4 L JI hV Sq. Ftg.
8'CJI
:fQ'1
(b) Tvpe
Sq. Ftg.
. (dl Tvpe
Sq. Ftg.
CONTRACTOR/INSTAllER: /YJ fiR Y//v ;:5/2 OS
ADDRESS: PO, B t;:l X a"'~7
-
.:s /4 /P..s
PHONE: ::rJ'5t2. J 7 t 9
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CITY: .J:::::.vfl/.:::wn. STATE:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: C </ ~/ y'
CITY BUSINESS LICENSE NUMBER: q ~\p ~
OFFICE USE
o/?~
ZIP: 971,2cJ z..-..'
EXPIRES: ,=3 p' 9' - 7' J~ Ll
EXPI~~S: J.P .:D ,y~
Sign DistrictI~ ~
Sign Permit Fee:
rjf) CO
land Use: D~()() Quad Area: \~ ~ 1\ 1)
Code Section: q - f") ~ ~ ~ ( '\')
Approved BY:~..) \ 5&.WX lATE: \Q - \f,\ .C\4:
?~ninQ:
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REQUIR:t~NSPECTIONS: Footing ~ttachment . . .. J Electrical V Final
to be made prior prior to placement after trsteners are prior) to energizing corrlpletion of sign ~
::::,::::.:., ..,.:',::::.,::'0 ~O I';i';'h ~~n;;1:. \ ~ Qn~a\l~
~ rN '*') \ ~~ a t bu.. I' - Ji~1nJ} Q1):A'tP--J
Bv Signa~re. I state and agree. that I have carefully examined the completed apPli~:tion':d d~' hereby certifv 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
emplovees 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 /l .
Signature J61..:)!-7?J, ~~ Data ~ - 1'1 ~ 9 'I
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Receipt Number:
I)()C{\
\ 0:J~w. \
Date Paid: \ /, lo l10'CfLf-
Received By: 1'1\/ f'f!'>.---)
Validation:
Amount Received: '