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HomeMy WebLinkAboutPermit Signage 1999-3-31 SIGN PERMIT APPLlCATI. ,. SPRINGFIELD 225. Fifth Street Springfield, OR 97477 SITE ADDRESS: 3'-1 It, ,"2, ASSESSORS MAP: _14 C) '::l, OWNER: {} U t (3/1 c k ADDRESS:=? t. S- 0 1-=1/ <; f A tJf' CITY: f?~ / If' Ill' .. BUSINESS NAME, FIRM ETC,:--O,.I f h n,. t.r TAX LOT: o ';3t'Jc; $.i~(' PHONE: ~1.i11;. .!t 5"20 STATE: W A, ~f"Ah-ho'u'~ 5Y:- J.MBER qq () ~ 17 Inspection Line: 726.3769 Office: 726.3759 ZIP: Ck'ooc.. Fl1f'iry"...."" S'fl4~ L P7/2../ Wall Roof DESCRIPTION OF PROPOSED SIGN IS): (please check and complete all appropriate information) Marquee _ Freestanding Projecting *- Single Face Square Footage: Double Face Billboard Other "3<< .5 Total Height above Grade: Vertical Dimension of sign or enclosure: Dimension from Grade to bottom of Sign Enclosure: IS/ Material Sign is constructed of: ,4 /14 '!' P A"; C' /-u."'JU L t,. Ii"... AI 11::1\1 IIUN:uregon law requires you to IVIIVVY I UICO) auufJU::U uy U It:: VIt~YUII UUIIlY List,ALL existing signage and attach ~Jph'6tOgHiphCOf;re8ch sign:,e rules are set forth . in OAR 952.001-0010 through OAR 952-001- lal Type SqllF.tg)(ou mav obt"in "n~(b)sT,yp~,,, ",I,,~ h" calling the center, (Note: the telephone ' Icl Type SQ~i!',~g::J'" 1M tho f"I'OgM l!~),i~yp.e'+;fi~~"~- (;pntpr ic:: 1 ~Rnn.~~~_~"lL1.1 \ CON:rRACTOR/INSTALLER: JjPl~ f h \0 C" IY1 tJll,;u L- /.... (' ADDRESS: /0 '2 I 2, JJ I=' frill R.)( S-f CIT'(: PM tli4 /oJd STATE: ("1')121" CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: I? 7 K7 b CITY.BUSINESS LICENSE NUMBER: EXPIRES: OFFICE USE Sign'District: 1..:- ~ c.,~,..O-t'.J Land Use: IE<. '6C-V Quad Area: Zoning: C!..<t Code Section: K, ;}Se" ( a) Sign Permit Fee: .:1t ~) . - Approved By: c:k "-^-t- Lu I 0 REQUIRED INSPECTIONS: Site to be made prior to sign placement ~ttachment after fasteners are installed/prior to cover Electrical prior to energizing electrical installation ~inal completion of sign installation Footing prior to placement of concrete Addi.tional Comments and/or Conditions: Iff' / /' It /1 VALUE ~ OF SIGN: -')2tJO tJ i?~ t J t ""\".1:: 't:RMIT SHALL r.XPIRE IFTHE "''':'', SQ, Ftg:'~~" 'I~''''C' "'U'c> DER~ftl"'I' '''T .. .....,); I.. I... ..0 SQ, Ftg, -Ai-lOON ED FOR AN \' 1>"".." "'ERIO!, PHONE: 5/?3 .tIO,^,- f15/n ZIP: Q1220 EXPIRES: 1- 1 q - 0 (7 I Q..N L.0 DATE: '3 -3D - '7 "'\ By 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 all 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 installation of the sign!s). Sigr,a~Ure~~ '[~j,~ Date :?- ~/- qq , , Validation: if >-10 ,- 3 "?3.2<6 ,Received By: Amount Received: Date Paid: .Receipt Number: '3 . ~I -c, "i t<M.,J r:.