HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
ns NORTH FIFTH STREET
SPRINGFIELD, ORE6ON S1411
ENGINEERING DIVISION
Ofi'ICE NO. 116-3153
INSPECTION LINE, 11&,316S
~SIDENTIAL - COMMERCIAL
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SPRINCFIELD
IlF...o
JOB ADDREM, {PDft;> ~(LV /.t:-Jd
-'-SSESSORS MAP NO.'" J '7 D ~?_ '7 L./'Z-
RECEIPT NO, /86rS-
T-'-X LOT NO: '* /00
CAS!-;
SU9DIVISION,
CHEC< ~
O.:.NER, 1-1 A 5L. A
ADDRESS, 300 ,;.J .
S7A;:, Ore
i1OR<. DESCRIPTION,
S!::::>E'.!JA!..K. ~
(~Z.I/Ji-1 .d"J,.J A I"'t:fl.,)
r-:IW:_\lI~ CI7Y, :5Pell4t-FI&.P
ZIP, "f'?Lf71 PHONE NO.
4'
Ci-'EC<.E::::> FOR DELINO;i:NCIES' !:.
CUR3 5!D:
==BAC~
CJRS.CUT: ~5IDa--:71~ _
SECOND DR1VEW~1 (5== I~IC)
REQUIRES AFPLlCA71001 i'OR A SECOND DRIV::UJA':'I..,.,4.1,)
OR A COUNT!' t.PPLlCA7I00I i'OR F"-CILlTY PE~IT IC ~-103)
IF IN T1-E U1:;.5. .
CO, ~ ERICt.!..
DAE c;::. APFLlCATI~
w/'"2.71f'5
51G.~:;:;:
ISo c> Ie..
Ib-Z$-f~
DA'iE::
UJClRK TO BE PERrvr<:J It::D BY: O=R
CON7Rt-C70!'1* ~A-rDJ.-I r/v-l.<:'-1f!..vC:110!J
=DRESS 2...9~?q~ A/PP6g-r.eel.
ffiv....t:vURE FOR IN$F!:CTION REQUEST:
CJ.LL 126':3169 (R:COR!:>ER) STATE YO..JR CITl D=:SIGNAED JOS N'J:""i==R. JOB ADDR::S5,TiP: a=
INSPECTION REGlUESTI:D A'JD tI.\-lEN YOU WILL 9E READY FOR INSPECTlOoI, CONTRt-C70RS OR O~~ NA~E t.'1D
PJ4o.oiE NlJM9ER REO'JES7S RECEIVED 5="v= 1,oe> "'-,., WILL 9E MADE Ti-'E S~ DAY, REO'JES7S ..<..=TI:R 1,00
A~ WILL BE HADE T!-l: NEXT l.1k:>R<.1~ DAY
~j";:<.AC70R
"*
RE!;IS7Rt-Tlo.-l NO. "3",-"1 I
EXF'IRES,,:?_2..I_ '16
F':";ONE,~"I. t;S ~~
EXISTING 9UILDING PE~IT NO. i IF Al"FLlCA9LE }
'" s== Q"",,",,,
--~
YOU~ CITY D::516NATED J03 NO. Isf
9576?<6
REQUIRED INSFl:CTJONS
~
SIDEWALK I DRIVEWAY
FOR ALL CONCRElE PAVING WI7~1N
Tl-IE STREET RIGHT QF'WAY. TO 9E
t1.40= .!.Fi'ER AlL EXCAVATING
IS ca-1PLETI: AND i'ORM ll.lO~
A'ID 5'J9'9ASE MATI:RIt.!.. IS
IN PLACE
D
._ CURS I APPROACI-l AFRO
A=TER FO~5 ARE ER:Ci:
euT P.'!IOR TO PO'J~IN!;
CONCR:TE.
FEES:
SIDEWALKS
.1@.00 . ~.15/LF. ( X )
or WALK
CURB-CUT
.10,0@ . ~.15/LF. ( X )
TOTAL Fl:RMIT FEE:
~
co.'1MERICt.!.. DRIV::WA YS SHALL
HAVE 5' TO 8' FLAIRS
3'- O. STA'IDARD
WALK X'
/ ""
I. X' J.
.,
I ~lVE .CAR.ERJLLY EXA."'1INED T}.!E COMPLETED APPLICATiON FOR PERMIT, ':"''lD DO l-IER.::e'r CERTJj:::.,.. 7~,l.. TALL
INi=O~AT'Of"..ll-lEREON 15 naJE A"ID CORRECT, A'ID I RJRT~=R CERTIFY 71-1AT A'll ':""'lD ~L WOR< FE~O~ED
Sl-lALL 9E DONE IN .t.ccORDA'JCE WITH TI-lE ORDIN"-"CES OF THE CIT!' OF SPRINGFIELD, A"D T~E LAWS 0.= TI-lE
STATE OF OREGON PERTAINING TO THE ll.lOR< DESC~19ED I-l:REIN, A'ID T~AT NO OCCUPA'ICY WILL 9E M"-D:
OF ~~Y 5TRUCTU~ lllrn-lOJT PE~15Slo:-.r Of THE SUILD!NG DIVISION.. I FUR71-l::R CERTIr=Y 7l-1,j,j a-.lL..... Co-.;7R.ACTO~5
fj:0~ (?~~: :~PLIA"CE WITI-l ORE> 101~S WILL BE U5:D ON THI5;1J/J r / C;, 5_
S D' \ D2TE r /