HomeMy WebLinkAboutPermit Building 1991-8-28
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DEVELOPMENT SERVICES
PUBUC WORKS
METROPOUTAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree
that vith the approval of lhe attached permits, one of the folloving
manufactured homes vill be placed at <z'2JQ I ('(' 'vv'. ,J1=\r\
Springfield, Oregon, City Job Number ClV')/ ,'):-- . ~
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Class A Manufactured Home. A manufactured home of not less than 24
feet in vidth and 16% (not less than 2:12) roof pitch, vith exterior
dimensions enclosing a space of at least 960 square feet, vith roofing
and siding materials that are commonly used or compatible vlth site
built homes.
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Class B Manufactured Home. A manufactured home of not less than l2
feet in vidth and 16% roof pitch, vith exterior dimensions enclosing a
space of not less than 500 square feet, vith roofing and siding
materials that are commonly used or compatible vith site built homes.
I further state, by my signature belov, that I have been provided vith the
folloving information:
- Mobile home blocking
- Sanitary sever connection
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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Date
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SENDER:
. Complete items 1 andlor 2 for additioni>~services.
. .. Complete items 3. and 4a & b. ..,\:. .4
'VI..! Print your name and address on the reverse of this form so
that we can return this card to you.
;/. . Attach this form to the front of the maitpiece. or on the
back if space does not permit.
. Write "Return Receipt Requested" on the mailpiece next to
the article number.
3. Article Addressed to:
'<fZo~Pcvv~
I\"I?) N.\~S?G,
ctM~ ,DR q,w").
J:L!~C~S: eel Croft ((J
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6. Signature lAg.
PS Form 3811, October 1990
bU.S. GPO: 1990-273-861
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I also wish to receive the
following services (for an extra
feel:
1. ~ddressee's Address
2. 0 Restricted Delivery
Consult Dostmaster for fee.
4a, "(ji~Z;crW04 S/Lf
4b. -Service Type
o RegIstered
!:}'Certified" ':
D Express.Mail
o Insured
o COO
o Return Receipt for
Merchandise
7. Date of Delivery
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8. Addressee's Address (Only if requested
and fee is paidl
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DOMESTIC RETURN RECEIPT
United States Postal Service
Official Business
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PENALTY FOR PRIVATE
USE. $300
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Print your name. address and ZIP Code here
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DEVELOPMENT SERVICES
225 FIFTH STREE.
::;PRIl\lr,FIELD. OR ':17477
P 76 0 40 4 .51 4
~Certified Mail Receipt
No Insurance Coverage Provided
flO Do not use for International Mail
~~ (See:Reverse)
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I C~rtifjed Fee
I S~ial Delivery Fee
I~Restricted Delivery Fee
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I Return Receipt Showing
g to Whom & Dale Delivered ._ _
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..... Return Receipt Show!ngIoWhom,
~ Dale, & Add~olOelivery
.::; lOTAl"POslage
c::i & Fees
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STICK POSTAGE STAMPS 10 AllTICLE 10 COVER FIRST ClASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (... Intnl),
1, If you want this receipt postmarked, stick the gummed stub 10 the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge). '
2. If you do not want this receipt postmarted, stick the gummed stub to the right of the return
address of the article, date, detach and retain the receipt, and mail the article.
3. II you want a return receipt, write the certified mail number and your name and address on a
return receipt card, Form 3811, and attach it 10 the front of the article by means of the gummed
ends jf space permits. Otherwise, affix 10 the back of article. Endorse front of article RETURN
RECEIPT REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
endorse RESTRICTED DEUVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If
. return receipt Is requested, check ~pplieable"'blocks in item 1 of Form 3811.
6. Save this receipt and present il if you make inquiry.
~U.S.G.P.O. 1990-270-153
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