HomeMy WebLinkAboutPermit Signage 1996-4-16
225 Fiflh Slreet
Springfield. OR 97477
SITE ADDRESS: ?l.{.Y,l.. Hw~lA
ASSESSORS MAP: \ (V'-,,'h >l J
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540\ li'btJdv
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BUSINESS NAME, FIRM EOC,: (/ ~_ ,
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. .. . ~'INIiUr. 5{~h:
JOB NUMBER Q\o(j1...t.3
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SIGN
~~~IVIIT APPLlCA~ION.
Inspection Line: 726.3769
Ollice: 726.3759
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OWNER:
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PHONE:
TAX LOT: rv..... 'l(J.,) - .J
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ADDRess:
l/L e '"
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STATE: fJ!1..
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CITY:
ZIP:
VJ'7LJ 7 7
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DESCRIPTION OF, PROPOSED SIGNlS): Iplease check and complete all appropriate inlormation)
X Wall Freestanding _ Projecting Roof
, * Single Face ~ Double Face _ _ Billboard Other
:-k Square Footage: ,I 4, O~~#J,I rf!l Total Height above Grade:
~ertical Dimension o. sign or enclosure: F/I;ct(,(f_ f) /I Hor~' t Width 01 sign or enclosure:
Dimension Irom Grade l\S( '14.''7.1 Electrical Installation: X es _ No VALUE
to bOllom o. Sign Enclosure: f,\ n V . IIf yes additional electri :al pe it is required' OF SIGN:
Material Sign is conSlructed 01: (,Mel ~ttl f I..~L/IH1J).p I/I,~'t/ fltl.f(
_ Marquee
~' - 0" 011 ;
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f 3 !J 0/) ~
list ALL existing signage and attach a photograph 01 each slg .
., lal Type .-. Sq, Ftg. ;:; T~" _____
Icl Type
Sq, Ftg,
Sq, Ftg,
Sq, Ftg,
-
CONTRACTOR/INSTALLER:. fYIa;dt"".
ADDReSS: '2/11./ ,) fl f{pl'{l'lV\
CITY: F:..1d(rl'hO
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CONSTRUCTION _CONTRACTORS REGISTRA TRN NUMBER:
CITYBUSINESSlICENS~NUMBER: V\ ~J0\d)..
PHONE:
3lf2-nMl
STATE:
(O Lt /gJJ'
f}f!
ZIP:
q l'-tl)7
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EXPIRES:
EXPIRES:
Sign Permit Fee:
Approved By:
OFFICE USE
f0300 Quad Area:
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Sign Dist~iCt:5- ~
Zoning: ' ~
?.flrp
~ land Use:
\ e ,\\ )W
DATE:
~ . P1 ,Clio
REQUIRED INSPECTIONS:
, Site Footing vAttachment
.... to be made prior prior to placement after 'asteners are
to ,sign. placement 01 concrete installed~ri'l\ to cover
Additional Comments anJI/or Co dit~ons:\j~OM.~L~WJ \
. J \ ~ ~~ ~U\f\f\! \ Y\f\m ~\ Y\-nflY\
\./'Electrical
prior to energizing
_ electrical installation
V Final..
completion 01 sign
ins~
By.signature, I state and agree. that I have carefullv examined the completed application and do hereby 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 01 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 lu.7ther 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 Iront 01 the property, and the approved set 01 plans will remain on the site at all times during the installation
01 the .siQnl~',
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Date
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Amount Received: . <;('(j ~
Receipt Number: rO \ 4$<;~
Date Paid:
Lf~
0' \' ).G\10 .
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Received By: . .l." LJ)/~"
Sign8tur~
Validatida: