HomeMy WebLinkAboutPermit Signage 1998-9-29
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SIGN PERMIT APPLI~ATIO', \
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
JOWMBER q go & 1 Lf-
Inspection Line: 726-3769
Office: 726.3759
SITE ADDRESS:
ASSESSORS MAP:
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TAX LOT:
Z-11'1
1M MI)9 /7-t+
~ 11-4
OWNER:
~ (rlfO_.1I-A2:r ' '
Z-1O'i5 OI.'>lIl^Plc.. ~~
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PHONE:
ADDRESS:
BUSINESS NAME, FIRM EOC,:-o
N~11' ......,,~'l"
" STATE:
1Jlr11 DI.ll.
()~
ZIP:
'3'14 'YJ
CITY:
Wall
..L Freestanding
_' Projecting
Roof
Marquee
*
DESCRIPTION OF PROPOSED SIGN IS): Iplease check and complete all appropriate information)
Single Face
Double Face
Billboard
Other
Square Footage:
Total Height above Grade:
10"
4'
Vertical Dimension of sign or enclosure:
3'
Horizontal Width of sign or enclosure:
Dimension from Grade 7/ Electrical Installation: _ Yes /NO VALUE t""-D
to bottom oi Sign Enclosure: IIf yes additional electrical permit is required) OF SIGN: <](
Materi'l\ftYrlec9/lstructed of: A'-'AtM.tf\ltWL.. 7m....l-Pla.o6\TTif~r~el.{,,1.:,i""o~:~< ."A-L.\A"'" 1-11/1""-
1:. follow rules adobted bv the Oreonn IlIili/1f
I nl;) I"tHIYlI1 ;)HI\LL ti\I"IHt It' I Ht WUHK I~OIITlCallOn L;entEir. Those rules are set forth
List AL)I.li1'~tRlItLqj~~~ ~mgtp~R~ft!f'~~bff each slgm OAR /)4i}~M01 0 through OAR 952-001-
. 0090, You may obtain copies of the rules b~'
laCO!,lMENCED OR IS ABANDlSllEEtIfOR &lIlTrYll~"e eeRIer, (Nole: th~qt"~~l.v"o
Ic{lWp~80 DAY PERIOD, Sq, Ftg, n~T~~rfortheOre,gon Utilit.y.J)l'jlMl(Calion
. ~enlOI I':' ,.uvu.u~~.2344).
CONTRACTOR/INSTALLER: ~ 'S'ob'\I. ~\tr.J'lA-. .
W&:., 1/ TIt
tOkJ'~Lt ;T1~"1
PHONE: 34 Z 4 '5 ~
ADDRESS:
3'710-1'
CITY: ~vtGr6Ne
5T ATE:
- 540 <, I
kI ONe_
DR..
ZIP: 97402-
EXPIRES: II - 1'0 - 9 g
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign Permit Fee:
Lf-t1./J tJ
..
OFFICE USE
Land us:: ?{\q~
Code Section: 'K'. '2-'7 ~
Approved By: ~
Quad Area: ..J..I (\)11 )
..,
Sign District: U10I1!,I<.I/H.-
Zoning:
I_AA r
DATE: 1-? ~-7!?
REQUIRED INSPECTIONS:
Site
to be made prior
to sign placement
I~oting
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
.'.........-Final
completion of sign
installation
~
Additional Comments and/or Conditions:
8.,.. signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
is true and correct, and I further certify that any and alf work performed shall be done in accordance with the Ordinances of the City of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein, I further certify that only contractors and
employees who are in compliance with ORS 701,055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located at the front of the property. and the approved set of plans will remain on the site at all times during the instalfation
of the signls),
Signature ~~
~~
?~-
Date
Receipt Number:
'i~, rN
() ~/ f 11/
Date Paid:
'). 1-9. 9 g
:It!S1
v
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Validation:
Amount Received:
-,
Received By:
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