HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
225 NORTl-l FIFTI-I STR:ET
SPRINGFIELD, OREGON "1'.."
ENGINEERING DIVISION
OCi'ICE NO. 126-3153
INSPECTION LINE, 126-316"1
r5IDENT~':;AL:-1 ~~,~RCIAL
APPLICATION I PE~T.
SPRINCFI(~LD
11;0..,0
JOB ADDRES5, t1fq FA~V/&-v<I
.!.SSESSORS MAP NO.+- /7 6~ t.-t 4'/
5U9DIVISION,
RECEIPT NO, /M?S-
T.!.X LOT NO: *(0 I
CASl-t
CI-IEC< ~
O.:NER, /-1 A SC A
ADDRESS, 300 vJ .
S,.!.TE, 6 rc....
lLOR< DESCRIPTION,
5!~Si!.l.!...K. ~
CURS-ctn:
(&2.I/J-1-I -"7J.J A I"'i:ll..'J
':::'Ale..~"-' CITY, 6f'ewt-f/C'J()
ZIP, "'1471 PHONE NO.
.j;
C;';EC<.ED POR DELINQJ~CrES " !:.
CUSS S!DE _
R:5ID:S7JAL _
=E1"eAC:< _
CO, & ERICAL
SECOND DRIVEWAY (SEE TRAi'i'IC !
REOUIRES APPLICATION FOR A 5:= DRIVEWAY("T,~.1.!
OR A COUNTT' APPLICATION FOR F.l.CILlTY PE~IT (C "l8-203!
IF IN n-;: UG.9.
"ATE O? APPLICATlOoI
SIGN:::;,
150 c> Ie
DA'i"::
IDRl<. TO BE FERf'v"", leD BY,_ O<:N:R
CON,RAC,OR*' ~A""'OJ...J (",,^/..Lc:,71!.i.JctrO./J
..:.::>OR;;S5 2.9'$?4p, A/?PDIl..f Eel.
~c....URE FOR INSPECTION REauE5T,
CALL '26':~'6~ (R:COR!:>ER ) STATE YOUR elii' DE51C:XAED J03 N'..J:""jSER. J09 ADDR:55,T':""P: 0:=
INSPECTION REQUESTED AND ~ YOU WILL 5: READY FOR INSP:CTION, CONTRACTORS OR O~RS NAM: AN"
PI-IONE NUM9:R. REQ'JESTS RECEIVE" 5:FORE 1,00 "<""1 WILL 5: MADE T;..lE SAME DAY, REO-JESTS "-"'TER 1,00
..0.:-1 WILL 6E MADE THE NEXT tJ.OR<:lNc. DAY
~TRAC70R
'*
REGISTRATION NO. "3<>,'7 I
:XPlRES'?-2.l-96
P;.;o":,q(,,l_ OS ~~
EXI5T[~ B:..!IL~ING ~~IT NO. ( rr= APPLICABLE)
*S""=~
--~
"'(ou~ CITY D::51GNATEP JQS ~O. Isf
9.57 tJ30
REQUIRED 1N5PECTION5
[ff
SIDEWALK I DRIVEWAY
FOR ALL CONCRETE PAVING WITI-IIN
mE STREET R164T OF .WAY. TO 9=
Mt..DE: h~R AlL i:XCAYAT~
15 COi'1PLETE AJ'-.ID r=ORM UJO~
A""lD 5L!9-9.!..5::: t1.t.TERIAL IS
IN PLACE
D
._ CURS I APPRO.l.CI-I AFRO
klER FO~5 ARE ERECT:
BUT PRIOR TO POJRING
CONCRETE.
FEE5, SIDEWALKS CURB-CUT W.l.LK x'
~1@,0@ . ~J5/LF. ( X ) ~1@.@@ . ~J5/LF. ( X ) / ""
0;= WALK
COHMERICAL DRIVEWAYS SHALL I. x' I.
I /, S~ I-lAVE 5' TO 8' FLAIRS
S 3'- O. STANDARD , '. '
TOTAL PERMIT FEE,
I ~lYE .c.l:.R:::~LL y EXA"'1INED TJ-JE COMPLETED APPliCATiON FOR PE~IT. A~D DO ~ER:::eY CERTlr=Y 7~.L.T ALL
I~~ATION I-lEREON 15 TR1.JE A"ID CORR:CT. A'iD I FURTHER CERTIFY .1-4.4T A!'\IY "j."'lD ALL u;oR<. FE:o;.r......:":J u::.D
S;-lALL 5E DONE IN .t.CCORDANCE WITI-I T;..lE ORDIN-'-NCES Of' T;..lE crn- Of' SPRINGFIELD, AND TI-!E L-"l:JS O? T;..lE
STATE Of' OREGON PERTAINING TO TI-IE tJ.OR<: DESCRI5ED I-'.=REIN, -'-'1D T;..lAT NO OCQJPANCY W:LL 5E M"-DE
OF ~-..:.,.. 5T~CTU~ l1JITi-lOJT PE~IS51D:'-l O? Tf-IE 9UILD!Nc; DIVI510tt I FUR74ER CERTIFY Tt-I~T o:-.lL "'i" Co-..lRACTO~5
~OYEZ()~IANCE WITI-I ORS '''''~5 WILL 6E USED ON THIS;O;:;f / 9\)-
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