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HomeMy WebLinkAboutPermit Building 1991-8-28 \- " . .- . 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')/ ,'):-- . ~ o 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. o 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 n'. .7t~ S~~~ Date c::: '2., CJ L..~AJ I:J 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 ( 6. Signature lAg. PS Form 3811, October 1990 bU.S. GPO: 1990-273-861 .De~/A , 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 t!/1-(')-9 L 8. Addressee's Address (Only if requested and fee is paidl ~~~f '3 DOMESTIC RETURN RECEIPT United States Postal Service Official Business . .~ ~ - - ~- ~, A .. PENALTY FOR PRIVATE USE. $300 . Print your name. address and ZIP Code here . L '@W@fi0V<i",-\!VUlfJJJl @JJ](!@1}~ 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) Senllo I " fpr J.-.../J. A A.P/'>C!.;L~-:tMP/Lb) mNqN.~~ "~;;~~ (jQ ~ """'ge $ ,Q.'1 I J .00 I ~ u~ </:60 r $c:? .~'1 ~ o z 9 5 Gl I C~rtifjed Fee I S~ial Delivery Fee I~Restricted Delivery Fee <'I I Return Receipt Showing g to Whom & Dale Delivered ._ _ . I . ..... Return Receipt Show!ngIoWhom, ~ Dale, & Add~olOelivery .::; lOTAl"POslage c::i & Fees a; Postmarz:k or 0 - "- (W') [J-!) E ..,.,~./ .f ..~;" ~!. ';J( . '-.) 10 ': /-, en a., St 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 ... I g ~ " c: " .., o C> CO ... E & en a.