HomeMy WebLinkAboutPermit Sidewalk 1995-6-22
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225 NORTf< FIFTf< STREET
SPRINGFIELD, OREGON "11"11
ENGINEERING DIVISION
Ofi'ICE NO. 126-~15~
INSPECTION LINE, 126-~16"1
~5IDENTIAL -
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COMMERCIAL
SIDEWALK I CURBCUT .,'
APPLICATION I PER:-1IT ~
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~PRINCFIELO
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5USDIVISION,
OJ..NE R:
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(0'75
tffL-
:.DDRESS,
STAT:::
~ DE5CRIPTI~,
5!DSl.!.JALK:
CURS-CUT: ----
T:'X LOT NO: "* tJ Cf4 !50
RECEIPT NO, 119$'6
CHECK ~
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ZIP, 97Cf7{.
CITY, 6P,z.(f.Jr.,~
P;.ION: NO. lq!~O'H~
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CUSS SIDE _
~SIDENTIAL _
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CO;-'II'1:.R.1C:...L
SECOND DRIVEWAY (SEE TRAFrIC J
REQUIRES APPLICATION FQR A 5:COND DRIVEWAY('T-4.1.J
OR A COl.JI'-.lTY t..FPLICA7ION FOR FACILITY PS~lT (C s.8-203)
Ie IN THE UG.5.
DATE OP APPUCATlo-J
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,SIGN:D,
DAlE:
~UNER
~RK TO BE PERrv"", II::D B.,...,
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CONTRt.CTO~ '
,.~..::>!:)RE: 55
CONT~CTOR
'*
REc"IST~TION NO..
::.XPiRES:
P;"';O~=:
r-1'<V'-'I::VURE FOR IN$FECTI~ REQUES>T:
CALL 126-316"1 (RECORDER) STATE YOUR CITY D:SIc,,!-1ATED JQ5 Nu:-15ER, J05 :.DDRESS,rn='E c;:
INSPECTION REQlJE5iED Alo.JD lU-l:EN "rOU WILL 8= READ"r FOR INSP=CTI~, CONTRACTO~ O~ Ou;...::::~ NJ..;-;= .4..'10
Pl40NE N1.L"1aER REQUESTS R.E.CEI\lED S:=.......ro;.:. 1:00 .L.."1 WILL 8E MADE Tl-IE SAME DAY, REQ~=ST5 t.r=iER "1;00
.0.,'1 WILL BE MADE THE N:XT LLIOR<:ING DAY
'" s== =^~
..._~
REQUIRED INS>F'!:':CTI~S>
ROES>:
SIDEWALKS
EXISTI:--.r.:; 5:JILDING P::~IT NO. ( rr= APFLlCASU:: )
YQUR CITY DESIc"N:'TED J05 NO.. Isf
9S/(')/ /
D
~R9 / APA'1CACf< APRe
~R FOR""lS ARE ERECi:
BUT PRIQR TO PO"RING
CONCRETE.
SIDEWALK I DRIVEWAY
FOR ALL CONCRETE PAViNG WITHIN
THE STREET RIG4T c;: WAY, TO 9E
M.4DE .4=TER .ALL EXCAVATING:
IS COi"1PLETE AND FORM \.IX:l~
,A"'D SU9-9A5E MATERIAL IS'
IN PLACE
CURB-CUT
~10.00 . ~.1:;./LF. ( X )
WL..L< x'
~ \~
I.'" x' '~' I
" 'r
~10.00 . ~.1:;./LF. ( X )
0;= WALK
ID.--I--
$
TOTAL F'!:':Rt1IT ROE:
J5"C2c/ -::(3&D
!'3.{d)
COO1MERICAL DRIVEWAYS SHALL
HAVE 5' TO 8' FLAIRS
~'- 0" STA"'DARC>
I ~AV'E,CA~~LL Y Ex...:..~INED T.I-4: COMPLETED APPLICATION FOR PER71IT, ~lo.JD DO t-lEREBY CE~TIFY 71-1.L.T ALL
IN""rOR:'1ATION I-!EREON 15 TRUE A~ CORRECT, A"'JD [ FURTr-1ER CERTIFY TI-lAT A~""" ~~D ALL 1.LOR< FE~O~ED
SHALL BE DONE IN ACCORDA"'CE WITf< THE ORDIN"-'JCES OF THE CITY c;: SPRINC:f'IELD, AND TH: LAt:J5 c;: THE
5TATE 0;:. OREGON PERTAINING: TO TI-lE tOC)Rl<, DE5CR-19ED HEREIN, A"lD Tl-lAT NO OCCUPANCY WILL 9:: M,.!,DE
OF .4SY 5TRJCTURE UI'T~O'JT PER:"11551QN OF 11-1E 9U1LD!NC:I DIVISION. I FUR7J-l=.R CERTIFY 71-1.:.T ONL.,... COS7RACiCC(:::;
AND EMPLOYEES WHO ARE IN COMPLIA'JCE WITH ORS 101<*5 WILL BE USED ON THIS PROJECT.
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DATE