HomeMy WebLinkAboutPermit Signage 1994-6-30 (2)
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SIG,N 'PERMIT APPLICATION
3689" -, ,', - SPfI' DE\'. SER.
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JOB NUM8EA_~'P:It
Ii1J 002
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S, "."0"'''" ~
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'17)0 ~ %.1'. '
\')-03- "l-!--o'O__ TAX LOT:_Q:;23,c2:2
OWNER: _(geiue:v<AL._(c;~-W (\-'\(cyK\. J :s:N~PHONt: ~ 1.$.c.-~O]-3~OO
ADDRESS:_iS:~o~ U~ ELu~/_ ~j L' '::: LS2D__
'CITY: ~~~~ OftKc; STATE: C4 _
__bnu.~wCn" Du:)e::o
Cf~\1?31
225 Fifth Street
Sprir.gfield, OR
57477
Inspection Line: 726-3769
Office: 726.3759
SITE ADDRESS:
ASSESSORS MAP:
ZIP: _:J./l.fo s
SUSINESS I~AME, flAM ElC.:
DESCRIPTION OF PROPOSED SIGN(S}: (please chec~ and comple!e all appropriate informotionl
~ Wall Freostanding _ Projecring R.~of
-t. Single Fnce Dooble Face Billboard Other
Marquea
Squafe Footage: 7g -t3-"
, I I" j I
Vertical Dime"sion of sign or e"closure: ~ '3 <r z HorizO,1t"r Width of sign or enclosure:
Dimension from Grade I ( Electrical Installation: ~_ Yes __ No VALUE
to bottom oi Sign Enclosure: _~L~__ III yes additional electrical permit is requ;fed} OF SIGN:
Metei"i SiGn is COl1s1ructod of: ~ MfZ'rA~!-'J!.LAS;T'L C
I
iotal Haight above Gr.oe:
(rq
I / (
ILl '" 7
l~ooo
co
Lisr ALL existing signage and 8tt~ch 8 photograph of each s'gn: fI'('qJt;,;; 8 (<?TI,.J ~
,
lal Tvpe C/fft1v1lJ
AJ e1..-
Sq. Ftg.
{b) Tvpe _~_
Idl Type./"
Sq, Ftg.
Sq. Ftg.
Sq. Ftg. _____..
CONTRAC'i'OHIINSTALLER: ____~ cntJ -Lr.c:.U..! ~ ~
ADDRESS: ,4-"570 W. {{ ~ Av~
-
CITY: bJG~~ STATE:
PHOC;E:.3!Il.{ ~3.o:G_~
CI?-
ZIP: '77 fa 'Z....
EXPIRES: tf..~t:s
____..EXPIFiES: -=to '" 0 .q:~r-'
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CONSTRUCTION CONTRACTORS FlEGISTRATION NUM9EA: ~~V (
9~_D~~.2-
"7
CITY BUSINESS LICENSE NUMBER:
OFFICE USe
SiD" District:_tcrom\:n\ \-U,
Zoning: . 0J) ~cO . (J
Sign Permit Fee: ~~~_
. .. 'l.-'" ^
~
Land Use: -$00 Quad Area: _\WQ.J __.___ '
c... S.oo" _Cl- '1"'- &rtl:L --.-;-. ~C
{jproved By: __ ~ ) DATE: .\o_J~~c{.. g~_
REOUIRED INSPECTIONS:
Site
to be m"d~ lJrior
to sign placement
Footing
prior to placement
of concrete
/
Attachment
a1 ter fasteners are
installed/prior to Cover
~Ier.tri~di
prior to energizing
electrical installation
~nai
~;~p:etk.lf) of sinn
installalion
Addi(i~r.al Comments Oli%r Conditior,s: ____...
By signature, I state and agree, mat I have carefully examined the completed app!icati~n and do h~reby cert1t'f that all infc,rmaticn her~ln
is true ano correct, .no I further certifv thar any and all work performed shall be ~r.ne in accordance with the Ordinanc~s of the City of
Springfield. and the Laws of the, St~te of Oregon pertair,ing to the work described herein. I runrler certify that only contractors and
employees who .re in compliance with OAS 701.055 will be used on this project. ' .
I further agree to ensure that all re'quired inspections are requested at the proper time. that project address' is readable from the Street, that
the pefmir card is located at the front of the property, and lhe approved set of pl.ns will remain on the site at all times during 1M installatior,
::g::e;:::n(Sl. ~~A j U- C Date -~4'-f-1{
Amount Received: ~ 0().fX) Date Paid: -W"':" e .C1'
~.l~:r-~
13&;Cf/
Re:eipt r-.:I,.lmber:
Received 6":
1 ___. _ _
Validation:
I~
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