HomeMy WebLinkAboutPermit Signage 1996-5-10
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APPLlCA ~ION ·
SIGN PERMIT
225 Fifth Street
Springlield, OR 97477
]443 H",,#Oh,
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BUSINESS NAME, FIRM ElC,:
SITE ADDRESS:
ASSESSORS MAP:
OWNER:
ADDRESS:
CITY:
&rl' #,~{ ~L~~ ..
. JOB NUMBER CX\ rf52JL ~
Inspection line: 726.3769
Ollice: 726.3759
TAX LOT:
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74k-f'14Lf
PHONE:
Law
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STATE:
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t47Lf77
ZIP:
DESCRIPTION OF PROPOSED SIGNISI: Iplease check and complete all appropriate inlormatlon) .. . \
Wall X Freestanding Projecting Roof _ Marquee t\ ~',~'
_ Single Face ~~ Face _ -:-- Billboard Other 0\~ l~
Square Footage: '* 1 q 8". m }It-hJ} )ltjh fALl ~tal Height above Grade: ((0 ,r; ~ .
*AI . ~,
VI ' th 01 sign or enclosure: ,;2.4
Dimension from Grade 5lJ?/ Electrical Installation No VALUE ~8f!J
to bottom of Sign Enclosure: . IIf yes addit.ional electr is required) . OF SIGN:
Material Sign is. constructed of: r;IooJd ~I UlIn,:.ef INLf le!(l ~{f 1/I~Y( ~11( (l(
I
181 Type
Sq, Ftg,
List All existing signage and euech e photogreph 01 eech sign:
Sq, Ftg,
Yl/\{I r.{:h
I
2DY }f{{Prffl"
~1/1/J ,p trJJ
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CONS'fAUCTION CONTRACTORS REGISTRATION NUMBER:
. CITY BUSINESS l~CENS~ NUMBER: G\' c;)Dnl d)
Icl Type
Sq, Ftg,
. CONTRACTOAnNST AllER: .
ADDRESS:
CITY:
Ibl T?J ________
Sq, Ftg,
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4-.
(~c
PHONE:_3I.fz- {~
STATE:
(;4;/nW'
!7tf
ZIP:
...t
Q'7l./ 02
3J vJ7'
(o,~,q'tO
EXPIRES:
EXPIRES:
OFFICE USE
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Sign Distiict: -:r.,.. ~
ZOning:' 0 ~ )
- ""{X)
Sign Permit Fee: \. \ l. ) I
~ land Use: ~"l.Jjf) Ouad Area:
Code Section:, C\- fl.... \ 5< (~')
, Approved By: ~ ' l ~~ATE:
REOUIRED INSPECTIONS:
VSite V;;;-oting
,.,.. to be made prior prior to placement
to .slgn, placement of concrete
^':tD' ~~~ r~';oo" f\ Q
\~ j\)Lu
'i-,1-~q0
.~Attachment
after fasteners are
Insta~edJprior co er
~Iectrical ~nal ..
prior to energizing completion of sign ..
electrit7~IXQ"f\urXo7i1. 0~
By.signature, I state and agree, that I have carefully examined the completed application and do hcrcb'( certify that all Information herein
is true 'and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of,
Springfield, -and the laws 01 the State of Oregon pertaining to the work described herein. I lurther certify ,that only contractors and
employees who are in compliance with ORS 701,055 will be used on this project.
I fulther agree to ensure that all required inspections are requested at the proper time, that project address is readable Irom the street, that
the p!'rmit card is located at the Iront 01 the property, and the approved set 01 plans will remain on the site at all times during the installation
01 the sIQn!s),
Sign1ltur~
d~~
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ValidatidO:
Amount Received:
. 'j"
Receipt Number:
\NJ~
,Q\4~~
'1-: lip -0 ~
\~, \\ j,Cth .
Received By: . N g ~fP----/
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Date
Date Paid:
SITE ADDRESS:
ASSESSORS MAP:
jl.{ 1.{"5 H l/L-Huh
"1"'1-:1 771 ."
SRU) . (JO{e" >t4,h,:
JOB !BER C\loD141..<,
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SIGN PERMIT APPLICATION
225 Fillh Slreet
Springfield. OR
97477
Inspection Line: 726.3769
Ollice: 726.3759
TAX LOT: r 11,'>(, ) ~
CITY:
a
J ~ 0 r i5aMv
. (yJn"1 /, i(~ l ~ STATE:
BUSINESS NAME, FIRM ~C.: '[f}I,r1,AftlHd ~i
~ J (,/I./A
PHONE:
iL{lo - t?"l{l.jLj
OWNER:
ADDRESS:
WN
fJ,f
'-
(vl,j.1mgT!-
ZIP:
q ll(7T
:.~
DESCRIPTION OF. PROPOSED SIGN(SI: Iplease check and complete all appropriate informatlOl;1
Wall .x. Freestanding _ Projecting Roof
_ Single Face -X Oouble Face Billboard Other
? ~quare Footage: 11L.Ti1 5161'" HIleArPf1., Total Height above Grade:
Vertical Dimension of sign or enclosure1tjo 1-: () ~~ ~ ' Horizontal Width of sign or enclosure:
Oimension Irom Grade J I<I~ Electrical Installation: X Yes _ No VALUE
to bOllom 01 Sign Enclosure: ~ . (If yes additional electrical permit is required I OF SIGN:
Material Sign is constructed 01: ~I- YM~ flt.\::tUf \;'~t I fJ:i.L(
Marquee
'2-/91
,Jj; flf f
~ ~ DOO
list ALL existing Signa~~ and attach a photograph 01 aach .Ign: ~
., tal Type Sq, Ftg, ~~ype -1-
,.,. Icl Type Sq. Ftg. Idl Typel
/
Sq, FIg,
Sq, Ftg,
ADDRESS:
2. f}lj J f It flr(~",
E v{.{ OWl STATE: ;n.#
Lv ~ f ~'E
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: Ir liln! f
- ~ . ~
CITY BUSINESS LICENSIj: NUMBER: r::J:)~),--,,~-:::.,-;,.
~J.
\.1-,., pf
)I~'r.r
PHONE: )i(z-l7k1(
. CONTRACTORnNST ALLER: ._f1I\Ay.j-;....
CITY:
ZIP:
q 7ttD7.
5/tt7 '
lo .10 (:.{ 1O
EXPIRES:
EXPIRES:
OFFICE USE
Sign Oist~ict:-.J:::-~ l'~ Land Use: t!'\'::I1J Quad Area: It,l\)u)
Zoning: (\ ~ Code Section:, l\ - f( - \ <?1 ('2..')' _
Sign Permit Fee: 'If).m Approved By: ~L ~~~DATE:
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4/LQ ,C{ lt2
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REQU~ INSPECTIONS: / ~ ~
\/ . Site' V Footing Allachment Electrical V Final " ,
..,.. to be mDde prior prior to placement after fasteners are prior to energizing completion of sign
to ,Sl,gn. placement of concrete installjldlprlor to K'ver electrical_ln,st lIatlon C\.~~~t~
"'U\illl'~~'~~Q~t~~__~__~rfu~ . .. . - .
By .$igna~re. I state and agree, that I have carefully examined the completed application and do hcreb'( certify that &!! information herein
is true 'and correct. and I further certify that any and all work performed shall be done In accordance with the Ordinances of tho City of,
Sprin'glield, -and the Laws 01 the State 01 Oregon pertaining to the work described herein, I lurther certily,that only contractors and
employees who are In compliance with ORS 701.055 will be used on this project,
I fu./lher agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the p,ermit card is located at the front 01 the property, and the approved set of plans will remain on the site at all times during the installation
01 the .siQnlsl,
Sign8tur~
/Z.e--:- ~
Dale
I-f -Uo-tUO
.-.... '
Receipt Number:
f\[)~
A\4i~
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Date Paid:
Received By:
~' U,Q0-
- ,/j'~-- /
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Validatioo:
Amount Received:
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