HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
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tr=SIDENTIAL - COMMERCIAL
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225 NORTH FIFTH 5TREET
5PRINGFIELD, OR!:GON <;\1411
ENGINEERJN6 DIVI510N
OfTICE NO. 126-'15'
INSPECTION L1N:, 126,'16<;\
SPRINCFIELD
J09 ADDR:55, /(,0 Flf-IR I)J~
':'5SES501<5 MAP NO.* I 7 6S Z 1 q I
5U5D'VI5ION,
Tt-X LOT NO:+' 16(
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~CEIPT NO, I ~"5
CAse;
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O.:NER, J-l A 5L. A
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ST':'T:, ore...
~ DE5CRIFTION,
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( f7f2../ /J-/-! ~J.l A r:=~a... ')
r-::-AIE:-VI!!'AAJ CITY, GPe/~t-F/frJ)
ZIP, <f7Lf71 P;.lONE NO.
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C;.:::C<=D 1'OR DELINOJENCI::S" ..:
CUSS S!DE
==iE.ACK
CUR9-a...'T:
R,:5109'71A!. _
CO,....r.-J=RICAL
5::COND DRIV:;:WA Y I 5:::: TR.t.iTIC )
~QUI~5 APPLICATION FOR A S::COND DRIV:;:WA"'I'T.~.1.)
OR A COUNTY APl"L1CATlON FOR F,c.CILlTY P::~IT IC '38-2(;)3)
IF IN THE UG5. .
DAT: OP APPLICATION
to /z... 7 If::>
51C:~:;:
~of? Ie
t"U-P)
DAlE:
WORK TO BE PERFvI'<l ,,:::D BY: O~R
Ca:-<TRACTOR * -"7'r A -r 01-1 r /l1-.L~.-lt!.vL1I ()/J
=D~55 Z.f5f~1S P'ff'.PoR.f.eel.
~o-.:~C'jOR
*
~C,ISTRATI= NO. ':32,7 I
::XPI~S,,?-2..I- 9"
P;':ONE,~ft,I- CJ5 q..s
,,,,,,,,-cvURE FOR IN5FECTION REQUEST:
CALL 126-'16'3 lREC=ER ) 5TAT: YO'.JR CITY D::SIC,~T::D .J05 !'or'!:";5::R, J05 ADD~5S,TYP:: OP
1N5P::CTION ~0UE5TED A'lD lL\-lEN YOU WILL 5E ~ADY FOR IN5P::CTION, CONTRACTO",S 0", 0l:KER5 NA.'"1:: A'lD
PHaoiE NU115::R ~OU::5T5 RECEIV:;:D 5:::rvr= 1,(!)O "-.'1 WILL 5:: MAP:: T1-I:: 5AME DAY, ~O~::5T5 -'<'TER 1,(!)O
A.~ WILL BE MADE Tl-4E NEXT ~1NC:s DAY
EXISTING 9UILDINC:s P2:RMIT NO. ( rr: AF'PLICA9LE )
* 5:::: BbOK
YOU~ CITY DE51GNATEP J09 NO. Isf
o C;-/ ;<'; z.fl
. .-
REGlUIRED INSPECTIONS
[f
51DEWALK I DRIV:;:WAY
FOR ALL CONCRETE PAVING WIT1-I1N
THE 5TREET RIG!-lT OF WAY, TO 5E
MID: ,t..,::"jER AlL EXCAYAilNG
15 COi"iPLETE AND FO~ ~
A'lD 5U5,5A5E MATERIAL IS
IN PLACE
D
,- CURS I APPROACH APRO
A-IER FO~5 ARE EREC7:
BUT P.'!IOR TO PO'.JRING
CONCR::TE.
FEES, SIDEWALKS CUR9-CUT W,c.L;< x'
t10.00 . W.15/LF. ( X ) t10.00 . to.15>/LF. ( x ) / ""
0;= WALK if
COMMERICAL DRIV:;:WAY5 51-1ALL I, x' I.
1-IAV:;: 5' TO 8' FLAIR5
~ "- o' 5TA'lDARD " .,
TOTAL Ff:RMIT FEE,
I 1-IAV:;:CAR:::"RJLL Y EXA'1INED Tj.JE COMPLETED APPLICATia:-< FOR PER:"1IT, ':"'lD DO 1-IEREBY CERTirY 7;';"<'T ALL
INFO~ATION HE~ON 15 TRUE A'lD CORRECT, A'lD I AJRT;':ER CERTIFY T1-IAT A'-lY A'lD ALL WOR;< PE"""O~ED
S1-IALL BE DONE IN ACCORDA'lCE WIT1-I T1-IE ORDIN'<''lCE5 OF T1-IE CITY OF 5PRNc,;:'ELD, AND T;';E LAW5 OP THE
STATE OF OREGON PERTAINING TO THE WOR;< DE5CRI5ED HEREI'-l, '<''lD T1-IAT NO' OCCUPA'lCY WILL 5E M'<'9E
OF j::.Si 5T~CTU~ UllTl-lOUT PE~1551o:--l OP T~E BUILD!NG DI\"1510tt I FUR71-1:R CERTIFY 7~,j.i Cf,\/L.,.. COSlRACTO~5
AND EMPLO'YEE5 tl.\40 ARE IN COMPLIA'lCE WIT1-I 01<5 101.os5 WILL BE USED ON THI5 PROJECT.
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