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Home My WebLink AboutPermit Sidewalk 2000-9-12 >:_ , ;,h . . . 225~FIFiH'STREET SPRINGFIELD;OREGON ,97477. C EN'GINEERINGDIVISION, " . . OFFICE'TEL~PHONE.(5q3) 726-3753. A,PPLICATION DATE:: i"-;i~ d-lJ . '.".'.,.,. ~..> '. .., ". ;:\~j,\}!i~{~><:',:~~?:.:;.f,;:f::,~~\~:" . . .... .. .. ,"-',~\ .-'-"',"-".- ~-:"""1' ~"'lr.l~ PERMIT NUMBER . h ". ,'. .1'." <> ' '(.... ..;;." . ,_...:"uCr=-.-o. :,;;'0:)":'.-,:0' .:-N".".i-;~,...:: . -.' . '.\.. .... . ".. . ';~-'" ,,' ~. .._', c;; ,'. DATE ISSUED: C';'. ,:. ..';, .......u,..".:':' -':"~:t:'. , SITE INFORMATION:: ,. , ' LOCATION OF WORK: <.; '~Sf .TLAIOv.-S ,.,,>.' . .', . , APPl;C~NT'" ~" ,Qe6.k.v- :PHONE: 'bR~:i..:/,j Pi~<;~:i"\:i,}';)<;'>1~::1i:,t~ . '"ADDRESS: /JfJ~ 7. 12-\I/'C-V' ~.. ."""','::~:::~:~':;'~~~fg"f~~iA:<~~~;!i:~:i;5!\ C,I~; 'fk.,'~-R4it' S;:A~~: ", ~'.:,:' q(.Wfi:9\~irf!t~;,,~t~~~:!~;~~r-- ~.,' \J I . ~,'. . ZIP: ..' .',:~ .:r:ij~.:::'~~":;::~~;~~;!':'~~':_~'~'~~~~ ~~;~_::~;~:;~::':,::':':i;;- .....SUBDIVISION.. .) .7,0 s. :"? 4/. '/'-.-. '.'00~~G0;;r~';~""",?,..,.:"I"1;'ri~.,,.'~~..,,'ifo'. , - . ~ '== .' ..~'....;.;;:..~ _ ;"'~--T,,'-'~..~'(:.J' :""~J..~,'.r"nt."hH~'r:'{,.", ,,,. .,' '.: 1:".:' (L., ,<j;? II" .i\-,. .., :; '.::?'Jj':i~~i'''.;ti.'!:''?,{'''filq;':;'i..f;j}:j:::'1X'(';~~' OWNER:. .~ ~I~~ 1~~~'~ :' "":t.~~~..-,:?-1"~~~~~P~QNE':~~rr 'V'-t':D"fl!:.d~\'~~f ,t, .... .A~DR,.ESS':' S2<6<cJ ~~ ... .' CITY: ~ I ~ eJ' }i1~";S+l~~~~;&1~i.~;:::~ii;i~$i~J'~'~ .aL:. ~.", .. '. ._ . - ..'- l~\' .\J,' . .~.,~;r~"}::"'<O,,""J7('~"!..,y..'>(~"k""'~~~''''':'-''''.''')iI'}I~'.''' "".' '~"'<;. '..;\ /".. .,' }- /.. ':r~~o\';I-~1'<ot.:..." ~);,:"". ~,.,; ....,.~,. ,: .'. " :'-'., ." .' '. .1,.. .'~. .",,~, ~'''J.1.(L<t ".JI. 'hii.>.'."';: '~fl!~l 't. '. r "..:..'{'.!,;,,:~. ,', ,\:';.',", > , :'\ ::;'''::''-~':~':~.~i{Yrfti:~~~~~:~;f.:~~j*:~~~~# ',' .'... ,-.';' ''-.':.\4~: t;~:-t/~":" '.. . , . ., . ..,. ,.,,"",,""".....,,"<it!o<!_,. . ".., '<_Jj"'~_.' '. REQUESTED PERMITS:', ". . ",.~, :. i. .. ; ,'i;<;,!'A, '.:':", . .. ' ':"""" '~""!""!"''''~jl"""il'''''!IT~'''0~,~!-~>\;TI~~;;:tW~~I''''','''''!'\;;__~'_' . " 'CJ' "'D"R'IV" EWAy/"CU'.'R'B" 'c' U<'T/S' 'IDEW' .A'L:K:~ ':":"';i"':;':'(:, -'.:':,." ." .., '.,;' ,'~1.,$1If\~.i1"'$.~6'~0"'i"0' '0'\\\ "^.'.'>"'.\,f~li';\.l". .... ,'.:, .,' . ,.:;., . '.", ..~.:.,.....,t"~""""''''''''.'''''''''''''''''''''~!''':~'~{;'',;.',':'.~;('~"'...'-i ,'_ _ :1: ~',/.;j/'Mr.1.0UN:rOj:SIR~VV,ALK'It,.).EXCi:SS'9~:~9.~T/';"I":~-~'''~''':'''.' .<!':'.@~0:,66SF~$'\; ,,,; ... . '..' , ,..,..... ,....1,.,:,.... ...."....l>-~.....,~...... '';{.~./..:.. i".;'~' . 't..:..,..,t~~~~~1~~),'r"~1~~iO,,;.....'.q."'io!~~..tl...i:l"!t..,(!:.ft)t( ... : .SI~~W~LK REP~I~'::';~'::F"":'~'::",:,,::;,:,:::,~,:;~ ";:;"~;;:"!""':"""';:"::";~i:+~)P:~Hf;(,~Y~>,lciJ?lij"?;'~':!<i:'~;f.i:'1!:};~,,1. . ". :.'. :. /::., '. ')(>;'. :.':,0' ',..,"<...>~.:' ,.,;....',,)'2*{:;;;:~"t?il:~;1~~f~~:;{~):if~~~'-f~t}~fi;;1,{ , CJ ADDmONAL DRIVEWAY, ,...................................................................$,,3.0.00 ,', '.' .,' .,. u.'",."',,,. . '\ '\ '., ,'. ' ,> ,:,'., . , , . i " _ -',' ":'.~..~l.,l'i.../,~i-<f.. . , . :;..", '''''~' "'0 PROOF ~F INSL~A~~E; $500.000 MINIMUM' IF' WORK IS ~O~E B~: p.Ro~~~iv,-;:(jWNER,/!t::~,;.i,;'i; ::':~~::,'~ :I"~ "IW : .. 1 .. ,'" <.. -/~ V . . . . . ',q,l....:;-' "J ~;!l:~~. .,~ -'t" .,tJ; .{"l\_ ;.;'1"'''-\'''.1 ...... , .. ' ' .": ~ l.." ~ ' ,.~.., . ,. . ~ ", . , .1.-.,. :1." ;1', '~<M"- ~;I;'~~"'~"" (,'". ~""'ii.!. '!~'''J.'''r< ..., " .' . '.' ;--, 't" I" ,I " \. ,!o', .,1 , '.' .. ....'" \0,.." !-.';ftI;,'iI' ~ jl;,',.i'~ ...~..,-;.......'~.I'-.\:t~..) . I '\,,' .'" ~ '.. ..~.~Z(, ",t "~"1 .' ,<I,' !.,/ : '1' ~ . .', 'l~ . '. . TOTAL DUE WITH PERMIT.':'.$,~t>\" W"lf','-," . .-r'~ ,,~ ~ ..,....., " ',p .'" ,. .',.", .." '.. '- ',', .." . ~....,,<fY. . CONTRACTOR INFORMATION: .,.,\:........ '," '.:';..:':.~.;:;)~';.':,k...;.'.;:' .~;,;":., '.:',::.".' . .",:",;i(i'"il.'~ ~j "'! '-.;' ~ .... ,. '"'c'" ,'. .', . '.... " . . . 7 :'.': :~,~ ..:---~:~:~,'~},~':,:.{(::;::.:;..:f:::'p:,;...:. ~"~::'<:.:': ~::::j;~': ~(! "CONTRACTOR: "::R61<s"~~\;.:'.,' '., ,.,,,,.,>...,...J"'J.",,.,,,",. """"""~" ., A~~~ESS'>' ~":i"4,tg.'i.;;,';' R,;;' .~".,,:,.;:,. ."..;"': ;~:;,~;.~~;~:f::,,':';\f;,:::i;,~,~~;N~V5~'7:;~I~;lif~ ~~;~ .C'O'~~~~CTORREGISTFiATION NOJ(, {i /;.,~?~./" (:":'EXPII~ATION DAT~:.j'/l':iJ;'L':i.~5~;c: ~\;i ';~RO';ECTSUPERVISOR~'. ,,.1, , ,. '." ';:JO /frO . -,::.. . '''Sm;ft... " , :., '.., ",:,,::"..:;Arj;:/puO~r' . '6 . :;.; .."., :F,~?rJp if!;' \ . , . -. ." . ',J..! I:' ". ,. '.' ." :~<f-. . ,.., '. " :,.;" .