HomeMy WebLinkAboutPermit Signage 1999-7-19
117/19;99 MOS 12:38 FAX 5417263689
SIGN PERMIT APPU.ON
CITY OF SPRI;\'GFIEI.D fjJ002
JOB NUM.Q9JD alp
225 Fifth Str.~et
Springfield, OR 97477
.-:-
SITE ADDRE~;S: 3nlfJ (ja.t~lIS-f... _ .
ASSESSORS MAP: /, n '3 d.-J J.;OOd <>t uu
OWNER nr~'11aJ Foadhol..lSe- r,riJ)
ADDRESS. .3 18 ~afewa.d .5+.
CITY _~i7JR~Jd J
BUSINESS NAME. FIRM ETC.: (Y,'t1 tna
J
Inspection Line: 726-3769
Office: 726-3759
TAX LOr,
'Si ('
'W-
PHONE:
STATE: OR.
I 'K<XldhOiJ~ arlll
ZIP, q747 7
DESCRIPTIOf\ OF PROPOSED SIGN(S): (please check and complete all appropriate information)
x.. Wall
)<.. Shgle Face
_ Fre~standing
_ Projecting
Root
Marquee
Doublo Face
Billboard
Other
SQume F:)Qtage:
75
Total Height above Grade:
020'
/S'
C:;'
Vertical Dimension of sign or enclosure: . n or enclosure:
Dimension from Grade /.~' 8 'I Electrical Installation: _ Yes X No VALUE
to bOllom 01 ~ign Enclosure: es additional electrical permit;s requiredl OF SIGN:
Malerial Sign is constructed of: f\luml~ n iJ YY"\
Ulloa -
Ust ALL existing signage and attach 8 photograph of aaeh sIgn:
(al Type
Sq. Ftg.
Sq. Ftg.
lbl Type
Sq. Ftg.
(c) Type
(d) Type
Sq. Ftg.
CONTRACTOH/IN$TALLER: -GlI:Jbt. J ",,"-~111/J
ADDRESS 1445 Hr.uu. qq f\J . J
j
CITY: "R)~e.i-:J I V'(,l
CONSTRUCTION CON-ut..CTORS REGISTRATION NUMBER:
t/\tn,tZU1.J
PHONEC5't'L)qS7~gS_90
ST ATE:
Iss'T 0.2-
0f2- ZIP: Q7470
EXPIRES, ---2..:::2 2... 0 I
CITY BUSINESS UCENSE NUMBER:
EXPIRES:
OFFICE USE
Sign DistrictCcft."""W~1 rL:t\L~ land Use: ~~
Zoning: C-<!.... Code Section, S? . fJ ..j Q
Sign Permit Fee: ~ - Approved By: ~L..t 1-<-
I:l
Quad Area:
(1\
lu~l~
\ C-1..lId
DATE: __'J" H.. q~_
REQUIRED IN~PECTlONS:
Site
io be made prior
to sign placement
_ Footing
prior to placement
of concrete
~Attachment
after fasteners are
installed/prior to cover
Electtical
prior to energizing
electrical installation
~I
completion of siun
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that J have carefully examined the completed application and do hereby certify that all information herein
is true and corfeet, and I further certify that any and an work performed shall be done in accordance with the Ordinances of the City of
Springfield. anj the Laws of the Stato 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 addre!>s 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 aU times during the installation
01 the sign{s);t) /. A I ,.
Signa"" -L )~ "'1OLcf/J Date 7 - / f - 7' '1
Validation:
Amount Received:
.it I{) . -
. ~ 0/"'2---
Date Paid:
Receipt Number:
Received By:
,&,02-4'1
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