HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
225 NORTH FIFTH STREET
SPRINGFIELD, OREGON ~1411
ENGINEERING DIVISION
OfTICE NO. 126-3153
INSPECTION L1N:, i26,316~
.RESIDENTIAL - COMMERCIAL
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SPRINCFIELD
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JOB ADDRE55, ~f;c.f ~(I!.I/t&w
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-'-SSES50RS MAP NO. " J 7 6 ~ 'Z 7 t:f (
5U9DIVISION,
RECEIPT NO, /('O?s:"
T-'-X LOT NO: '* 10 I
CASl-i
CH'::c<
~
O-UoER, 1-4 A 5L. A
=DRESS, ~ vJ.
ST-'-E ore.
ll.I:::>R< DE5CRIFTION,
S!:::>~K, ~
(f?7!2..1 JJ-/-I ~J..i A F"€Iz...'J
r;:;J1/~\l/~tJ CITY, GPel/o.t(..f/ed?
ZIP, "!7Q77 P;.lONE NO.
"*
Cri::C<ED FOR DELlNQ:J:NC1=5 L.
CUSS S!:::>E
==BAC.<' _
CUR9~CU'T:
~5IDES71~ _
CO:-101ERICAL
SECOND DRIY::WAY (5:: TRAFi'IC )
REOUIRES APPLICATION <'OR A S:C= DRIY::WAY('T,".l.)
OR A COUNTY APPLICATiON FOR F.l.CILlTY P:~IT (C '08,2(3)
IF IN Tl-i: UG.9.
DATE O? AP?LICATlo-l
D.4.2:
150 f} Ie..
t, ~2S ~f.5
b/2.7 19)'
.SIG~:::;':
WORK: TO BE PERFv"", IcD BY, O;:N;:R
CONTR.t.CTOR* ~A-rc>i-I r-/\!J<:''11?.vC:fIOU
4::>DR:SS Z?~'1~ ~ Alf'f'oi!.f eel.
~N~C'OR
'*
REGISTRATION NO. ~:z,7 I
EXP:R:S,~~2..I_ '16
P;,;oN:'~fcl. 059'.5
.l"V'-"'.......JRE FOR IN5Fl:CTION REQUEST,
CALL 126-316~ (REC=:R ) STATE YOUR CITY DESIGNATED J03 Ntr."19:R. J09 ADDR:SS;rrp: Oi'
INSF.:CTION REGl\ESTED AND ll.\-EN YOU WILL 9: READY FOR INSPECTlo.-l, CONTR.t.CTORS OR OCN:R5 NA.'"'!E "'ND
p~ NUM9ER. REaJESiS RECEIVED 9=r......~ 1:C'C' ..!.."1 WILL 9= HADE T;...IE 5.AJ"'1E DAY', R:Q:J=5i5 ":"'=TER 1;00
A"1 WILL BE HADE "ii-1E NEXT w:::>RK./NG1 DA.,..
Exr5TI~ SU1LDfNG ~~IT NO. ( IF AP?UCA9LE )
* S== Q~
-- ...............
""OJ~ CITY D:::5IGNAIED Joe NO. IS~
9~/O.35
REQUIRED INSFI:CTJONS
rEf'
SID:WALK I DRIY::WAY
FOR ALL CONCRETE PAVING WITHIN
Tl-iE STRE:T RIG!-IT OF -WAY, TO 9:
M.l..DE .t..t:7ER AlL EXCAYATINC:s
IS COi""iPLETE AND FO~ lliO~
AND SU9-5.<O.S: MATERIAL 15
IN PLACE
o
., CURe I APPRO.l.CH APRO
A:-OER FORMS ARE :REC"
BUT PRIOR TO POJRING
CONCRETE.
FEES,
SIDEWALKS
~10.00 . ~J5/LF. ( X )
or WALK
CURB-CUT
~10.00 . ~J51LF. ( X )
WALK X'
/ ""
I. X' J
.,
CO;-1MERICAL DRIY::WAYS SHALL
1J HAY:: 5' TO 8' FLAIRS
3'- O. STANDARD
TOTAL PERMIT FEE, ~ ,
1.,' I
1;...1 \IE .CARERJLL.,.. EXA'1INED T!4E COMPLETED APPLICATiON FOR PE~IT. ~""D DO ~EREB"" CE~Trr.,.. 71-l.l.T ALL
'NrO~ATlON ~EREON IS TFaJE A~ CORRECT, A""D I RJRT;";ER CERTIFY Tl-IAT A~"" ~~D AlL UOR< PE~~ED
SHALL BE DONE IN ACCORDANCE WITH TH: ORDIN-'-NCES OF THE CITY Oi' SPRI~IELD, AND TH: LAWS Oi' THE
STATE OF OREGON PERTAINING TO THE UJOR>< DESCRI9ED HEREIN, AND THAT NO OCCUPANCY WiLL 9E MAD:
0;: ~s"( STF3.JCTU~ lLlIT~-lOUT PE~lS5Ia-l OF TI-tE 9U1LD!N6 DIVISIOt"/" I FUR."il-ER CERTli='Y ~~~'j ONL "'( COSTRACTO~S
AND EMPLOYEES WHO ARE IN COMPLIANCE WITH ORS 101-'*5 WILL BE USED ON THIS PROJECT.
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