HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
lir=O
r5IDENT~'~;ALK ,~~~RCIAL
APPLICATION I P:~T.
ns NORTH FIFTH STI<!:ET
SPRINGFIELD. OREGoN -:11411
ENGINEERING DIVISIoN
OfrICE NO. 176-31S3
INSPECTION LINE, 176,316-:1
J09 ADDRE~, 4'7Z- .hN~IIIE.vJ
-'-SSESSORS M.l.P NO.* /7 ~'? Z -, <4 / T-'-X LOT NO: +. I ~ I
SUElDIVISION,
SPRINCFIEl.D
RECEIPT NO, IM'1>
CA5'-;
CHECK ~
O.:NER' l..!j A 5L. t\
:.DDRESS, 3c>o vJ.
S,AT:, oR...
l!.OR< DEecRIPTION,
S!D~K, ~
( !'-7f!../ tr/-./ ~M A 1"";(2...)
~AIe..-VIt!'...vJ CITY, 6Pel"'(,~/frJ?
LIP, "11471 PHONE t-<o.
.:1;
C;";ECKED FOR DELINQJENCIES " =
CUSS 5!!): _
~5IDa-.;iIAL _
==BAC<' _
CLlR;3-CUT:
CO, & ERICt.L
SECOND DRIVEW.l. Y I SEE ,R.t.M'IC )
!=C:QUIR::5 APFLICATlo-.: POR A S:COND DRIV:WA;("i-"".1a)
OR A COUNTY .l.PPLlCATlON FOR FACILITY P:~IT IC '08-703)
IF IN Tl-iE U.G5.
.5IG!\2:;:
~ATE 0;::: AFPLICAilo-.:
rolz?I,,)'
D.t..7::
WORK TO BE PERru"" IcD BY,
~~~CiOR
*
REC,IS,;;tATIO,., NO. ::>"',-1/
OUl'ER
CQN,R.l.COOR* -"3rrA'1'OJ-J
=DRESS 2...'1 '$?~ ~
r flJ..i.i,7f!.vc;ft OJJ
A / PPCJi!,f Ed.
15CJ c> Ie.
o - Z'& -?~
EX?IRES,~-2.l- 9"
P;";O"'E,~rc/ - OS~:S
,1'<V'-c....URE FOR lN5F:CTION REaJE5T,
CALL 176-316-:1 lREC=ER) STAT: YOJR CITY DESIC,~TED J03 !'orJ:"15ER. JOEl ADDRESS,TYPE OF
INSPECTION REQUESTED A'ID UH.;N YOU WILL ElE READY FOR INSPECTION, CONTRAC,ORS OR O~RS NA'"1: "'-'10
PI-!o.oE NWoElER. REOJES,S RECEIVED El=FORE 1,= "'.., UJlLL SE MAD: THE S.6ME DAY. REOJES,S ':"=TER 1,00
A~ WILL B: HADE i!-i= NEXT ~IN:::; DAY
TOTAL PERMIT FEE,
I H1VECAR:o"FuLL l' EXA""SED THi COMPLETED APPLICATION FOR PEf<:'1IT, ':"'10 DO HEREBY CEROIFY 7H"'-T ALL
INr=O~ATION ,""EREON 15 TRUE A"'ID CORR::CT. A'lD I AJRTi-H::R CERTIFY T~AT A!'-lY ~""O .ALL t1.iOR< PE;-<;..-......;oo;.. ICO
SHALL SE DONE IN ACCORDA'ICE WITH THE ORDIN-'-'ICES OF THE CITY OF SPRINc,;:IELD, AND THE L= OF THE
STATE OF OREGON P"RTAININe:; TO THE lJ.IOR< DE5CRI9ED I-'.:REIN, A'olD THAT NO OCCUPANCY WILL SE H-'-DE
OF ~o.",:.,.. 5T~CTU~ UlliT~O...JT PERi'1IS5Io:--l O? n-IE 9UILD!NC:I DIVISIOt./.. I FuRil-4::.R CERTIFY T~..\i' o:--lL j COSTRACTOR5
ANDX:E~ A?!Z;~CE WITH ORS 101~S WILL BE US:O ON THi ;;~/15-
SIGNE@' DATE
EXISTING 5:J1L::>IN(; P2~lT NO. (' IF APFLICA6LE )
'* s== =~
--~
YOU~ CITY D=5IGNAIED J03 NO. Isf
R:EGlUIR:ED lN5F'ECTI~5
[EJ
SIDEWALK I DRIVEWAY
FOR ALL CONCRET: PAVINc, WITHIN
Tl-i" STREET RIG'-IT OF 'WAY, TO SE
M.l..D: t.FiER ALL E~CAYAi'lNG
15 COi'"iPLETE AND FO~ UJO~
A~D 5L!9-9A5: tv..TERI.t..L 15
IN PLACE
D
FEE5,
SIDEWALKS
~1(2),r2)r2) . l12l.15/LF. ( X )
or WALK
CUR9-CUT
~1(2).r2)r2) . Y.2:l.15/LF. ( X )
s
p)
CO;-1MERICAL DRIVEWAYS SHALL
HAVE ,,' TO 8' FLAIRS
3'~ O. 5TA'JDARD
q~/n'?7
,- CURS I AF'P!<!OACH APRO
A=TER FO~S ARE ERECT'
BUT PRIOR TO POJRINC,
~CR.:TE.
WALK X'
/ "'"
I. X' I.
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