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HomeMy WebLinkAboutPermit Sidewalk 1998-6-20 4F5IDENT;I~;AL:-1 ~~ZiRC'AL . .4F'PLlCATION I PER"1IT 225 NORT~ FIFT~ STREET SPRINGFIELD. OREGON <31411 :NGINEERINU DIVISION Ofi'ICE NO. 176 -3153 INSP"CTION UN:, 126,316<3 111"..0 ,.,r'--l'- ,?"S7 J09 ADDRESS; ..:?oQ Ity'. FAleVIr=-,,,, .~~=~~~=~ M'ONO* /7-63-2.7- '-II -~--~~~~, . J1.t.\? -27 .1t,/2- 5U3DIVISION, O.:NER I--\-,A,~..6. , ADDRESS, ?Jon \/0 STAT:, 012- ll.iOR<. DE5CRIPTION, S!::>=ult.LK -.r CJR'3 ~ CUT: SPRINCFIEL.D - 6~ A--r-rb.~~o T"-X LOT NO: '* .z~ CASH R:C:IPT NO, 1191'i Cl-i"C< ( e>el t.. W .""'S HA f,l:e.. " F-A.\e\1 \\::-\Al CITY'6P.eli-l(,.,~/r;.t.D ZIP, OJ 7417 P;..ION: NO. v- *,/ C;..;ECi<.ED FOR DELlNQ~:NCiE5 -'- CUS?:9, 51::>: S::BACK R:S108'ilAL. _ CO;-J"1=RICAL S:COND DRIV=W.4Y (S"E T~IC ) REQUIR:S APFLlCATION rOR A 5:COND DRIV=WA"-('T,4.1.) OR A COllNTr" t.F'PLICATION FOR F~CrLlTY ~~JT (C ':.8.2C::>3) Ir IN m: UG.5. .5IGlNE:;: .- D.4T: or .4PFLIC.4T1ON l. .t.o-?> DAE: ~ @-/~lS UiOR< TO BE FERl"u"", II::D BY: OCloER r~T:'<ACTOR C~TR"-CTOR* 61' P,1Q't-J c-() j..( !G:re.uc:tl f"J/J REGISTR"-TION NO.*~~., I =DR:5S 2.'1 ~LJ. -t:a, A''''B.?t2..-r e.rI, t:::,j J/...,t::::J.J&. . ",\2... r-r<vc..<:vURE FOR IN&FECTION REQUEST: C.4LL 126-316<3 (R::C=ER ) STAT: YOUR CITY D:5IG;lAT"D J03 Nu:-13:R, JOB ADDR:S5,T'r'P" or INSPECTION REQUE5TED A"iD lU-1EN .,...OU WILL 5= R::A::>Y FOR 1N5PECTlo-.l, CONTRACTO~ O~ ~RS N..t.;--;:: t.."JC> pJ..io..E NU1'1B:R R::QJ"STS RECEIVED Ba=oRE 1,00 "-'1 WILL B: MAD: TH: SAM: DAY, R::QJ:5TS "-"TER 1,00 A'1 WILL BE MAD: T!-l: NEXT ~INC= DAY "* SEE BOoK REGlUIRED INSPECTIONS FEES: TOTAL PERMIT FEE, :XP:RES, b:2../ ~ '" P;";O'JE, <I" / -0$c'J'2. EX!STING- SUILr:>rNC:: PE~IT NO. ( IF ,APPLICABLE) YOUR CITY D:SIGNATED J03 NO. Isf -Ii 7'5{) 997 ~SIDEWALK / DRIVEWAY FOR ALL CONCRETE PAVING WITHIN TH" STRE:T RIG!-lT 0;= WAY, TO BE t1tDE .l..=TER ALL EXCAVATING 15 COi'"'iFLETE AND r=ORM WO~ A>olD SU3,3A5" MATERIAL IS IN FLACE D ,- CURS I APPROACH .4PRo. A:-lER FO~S A~ ERECT: BUT PRIOR TO POJRING CONCRETE. W4L< x' / ~ t x' ./. " I ;..I.c.vc: -CARER.JLL Y EXA'"1INED T}.JE COMPLETED AFPLlCATia-.l FOR PEF<:MIT. "="'''D DO t-lERESl CE::O;7rr=y 71-tL.T ALL 'Ni=O~ATION t-lEREON IS ~E A"ID CORR.:CT. A~D I FURTf.:ER CERTIFY T~AT A"Y ~"D ~L lLiOR<. PE~O~ED S~ALL BE DONE IN .4CCORDA>olCE WIT~ TH: ORDINA'JCES or THE CITY or SPRINC=f'IELD, AND TH: LAC.l5 or THE STAT: 0;= OREGQ'J PERTAINING TO THE WORK DE5cRIB:D !-;"REIN, A>olD THAT NO OCCUPA'JCY WILL B" MAD: OF t..~.,... STFalCTU~ U"i;40JT PER'11SSlo:-.J OF TI-lE 9t1ILD!NG DIVISION.. I FUR71-lER CERTIFY 7h'...\T ONL"i'" COSTRACTC::;::S .<.ND EMPLOYEES WHO ARE IN COMPLIA>olCE WIT~ OR!'> 101.0:.5 WILL BE US:D ON TI-IIS PROJECT, --=:> ~ SIDEWALKS .10.00 . ~.15/LF. ( X ) or WALK S(D'" --t' tij)'~,/~Z- 1'2.<)<> SIGNED CUR9-CUT .10.00 . ~.1:;,/LF. ( X ) ~ COMMERICAL DRIV=WAYS SHALL HAVE S' TO 8' FLAIRS 3'- O' STA'JDARD 2.2, DO ~ DATE ~-ZO-q-S