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
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