HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
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'SIDENT~,~;Al.:-' c;;;.~CIAL
Af'PLICATION I P:~T"
225 NORTl-l FIFTH STR:ET
SPRINGFIELD, OREGON 91411
ENGINEERING DIVISION
OfFICE NO. 1'6-3153
INSP:CTlON L1N:, 1'6,3169
Joe ADDF:E55, IrA- hCJ(~V/1?t..J
"'S5:550RS MAP NO.'" J 7 0 ~ 7..."7" I
T.!.X LOT NO: '* 10 I
SUSDIVISION,
O.:N:R, J...:, A 5L A
=DRES5, 300 v.J .
STAT:, oR...
ilX:>R< DE5CRIF'TICl'<,
5!D::".!!!...... ~
(f;?12.-t /J-/-I ~J..j A r:=t:fL,)
r;::;AIe...v'~-AfJ Cln', 15Pell4t..F/frJJ
ZIP, <f7q71 P;<ON: 10<0.
CUSl9 SD: _
S:3ACK
CURS-CU'T: ~5rDa-.;7rA.L _
S:COND DR:v:UJ.<:. Y (S:: T~IC )
REQUIRES APPLICATION i'OR A 5:= DRIV:UJA,('T-~.I.)
OR A COJNT'r t.PPUCATlON 1'OR FACILITY P:!<:'1IT (C 98-'03)
11' IN T\.;: UG.9.
CO,-r, ERIC.l.J...
!:lATE O? APPLICATIO\!
{t;17_'1/'5
SPRINCFIELD
REC:IPT NO, t.go?~
CASH
CH:C< ~
..,
C;";:C<:D 1'OR D:L INQJ:NCI:S" !:
51C:::~:;:
PAi:::
UJORK TO BE PERf'v1'<l u::D BY:
O\l1ER
~ON~CTOR
'*
REGI5T;<A TION NO. """'"1 I
CONT;<ACTOR *' "'7'r A -r D J...I
=DR:5S 2-'1 <$fq A
rr,~It:,'ft!..vL:tl()1J
A/PPDi!f eel.
150 c> Ie
:XPiRES,?,2../ - 96
PHOS:'~fol- 05 ~
r-l"'V'-Cl./URE FOR IN&F'l:CTION l'SaJEST:
CALL '26-3'6~ (R::COR!:>:R: ) STATE YOJR CITY D=SIG:~ED JOe Nt..C"'i9:R. J09 ADOR::5S,T"'i""PE 0:=
INSP:CTION REQUESTED A"lD l1-\-lEN YOU WILL 5: READY FOR INSP:CTlON, CONTRACTORS OR 0~!'<5 NA,,",: 4"lD
p~ NUM9ER. REaJEST5 RECEIVED s=r-......~ 1:0CZl ..!.."1 WILL 5: MAPE n-l: SA1'1E DAY. REO:.J::STS ~TER ':00
A;1 WILL 5E MADE T!;: NEXT IU:)R':::ING DAY
*' s== o~
--~
,,(OUR CITY D::SIGNA'TED J03 NO. Isr
EXISTING: 9UILDING P:~IT NO. ( IF APPLICABLE)
9.c;;/(y~ 0
REQUII'SD INSPECTIONS_
[j'
5IDEUJAl.K I DRIVEWAY
FOR Al.L CONCRETE PAVING WIT!;IN
T1-IE STR:ET RIG!;T Oi"WAY, TO 5:
l1tD= .l.FTER ALL EXCAVATING
15 COi"iPLETE AND i=ORr1 llX)~
A"J.D SW9-9A.5E MATERIAL 15
IN PLACE
FEES:
SIDEWALK5
~1@.e>@ + ~.I:;/LF. ( X )
or WALK
CURB-CUT
H@.@@ + 10.15/LF. ( X )
D
TOTAL r-t:1"<l liT FEE,
~ ~0, b"O
CO;1MERICAl. DRIV:WAYS S!;Al.L
HAVE !;' TO e' FLAIRS
3'- O' STA"lDARD
._ CUREl I APPROACH APRO
A=TER FOR'15 ARE ER.:C7:
euT PRIOR TO PO~RING
CO:-JCR.:7E.
WALK x'
/ "'"
l x' I,
" "
I :-lAVE ,CARc--1=uLL Y EXA~INED TJ.4E COMPlETED APPLICATiON FOR PE~IT. ~"D DO ~EREBY CERTIFY 7!-.;.L.. TALL
It-..TOFC:'1ATlON I-!EREON IS TRUE A~ CORR:CT, A"lD I RJRT~ER CERTIFY T~AT A....rr ~"J.D ~L WOR<. PE;-<;:""......~ iED
5I-IAl.L 5E DONE IN ACCORDA"lCE WITH T!;E ORDIN'<'''lCES Oi" THE cn-r Oi" SPRING.'IELD, AND T!;E LAC.!5 0.= THE
STATE Oi" OR:GON PERTAINING TO THE UlQRK DESCRISED HEREIN, '<''''D T!;AT NO =CUPA"lCY WiLL 5E M'<'DE
OF ~"";Y 5TAJCTU~ UIlT~~O'JT PE~ISSION OF Tf-{E !3UILD!NG DIV1510t.t. I FURT1-l=R CERTIFY 71-t.lT ONL Y COS"TRACTORS
AND EMPLOYEES lLI-lO AR: IN COMPLIA"lCE WITI-I 0R5 101.0:.5 WILL 5E US:D ON THIS PROJECT.
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