HomeMy WebLinkAboutPermit Signage 1996-1-30
DESCRIPTION OF. PROPOSED SIGNIS): (please check and complete all appropriate information)
Wall X Freestanding _ Projecting Roof
_ Single Face _ Double F~ce ~ Billboard X- Other
Square Footage: ~ \.Of) ~ Total Height above Gr
to - <;
Dimension from Grade . S I II Electricallnstallati n:
to bottom of Sign Enclosure: ::J. - & . (If yes additional elec .'
Material Sign is constructed of: rahri({11td fWJltti wi Ylff'''' IILI~t'llI~/thi" .Il/vyf
........
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~~RMIT APPLlCA~ION.
SIGN
225 Filth Street
Springlield. OR 97477
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BUSINESS NAME, FIRM etC.:
SITE ADDRESS:
ASSESSORS MAP:
OWNER:
ADDRESS:
CITY:
fJ!tfAf-t'"
Vertical Dimension of sign or enclosure:
srnlNCFIELD
JOB !BERq (a,0 0 l"
Inspection Line: 726-3769
Olfice: 726-3759
TAX LOT: I 1 jl 0 ( 1-)
IiJil/ Milt f;;UJbHONE:
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STATE:
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O~
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~11.{77:
'ZIP:
TVln
Marquee
~1'.
+f)~ f)/)O
ptff.,.ff'~'11(
idth of sign or
VALUE
OF SIGN:
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[OJ)
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fli -Iue
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, .
" .
(~I TYpe
Sq. Ftg.
List ALL existing signage and attach a photograph of aach sign:
IN'iL/(
wMt
Sq. Ftg.
X).{)
lei Type
Sq. Ftg.
. CONTRACTOilnNST ALLER:
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, TpfHr( nvI
ADDRESS:
2D4
(b) Type
ldl Type
Sq. Ftg. ~
if YIlJ.
C1. .
.ff .
51 A'y,(
,
PHONE:
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fJr(
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CITY: F.1-!i~l/1~
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITYBUSINESSL~CENSENUMBER: C\ ~'?{rC)
t17l{Oz
rrm {J,q.Qlo
~O.~(S.-C\l 0
Sign Dist-;ict:~':)
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Zoning: /
~ \)J\\ 'N \
STATE:
ZIP:
EXPIRES:
EXPIRES:
OFFICE USE
---...
~?f,) Quad Area: \ ~ (\)\ f ) .
Code Section: . L. - Y 1- I K ~~ ,- .,
L\(\~\ ~ ~ flY DATE: [....Y) .l{(~
: !\r~Y 'ub? , 12.:.lO . U-cZ\ u ,
o . U150S.\03)
Land Use:
~~r~ttA
REQUIRED INSPECTIONS:
L_;< Site
.... to be mpdc prior
to .51.Qn. placement
VFooting
prior to placement
of concrete
,
Additional Comments andlor Conditions:
:.
~aChment
after fasteners are
installed/prior to cover
~Iectrical
prior to energizing
electrical installation
v- . Final
completion 01 sign
installation
By ,signature, I state and agree. that I have carefully examined the completed application and do hcrcb'( certify that all information herein
is ttue 'and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of,
Sprin'glield, .and the Laws of the State of Oregon pertaining to the work described herein. I further certlfy.that only,contractors and
employees who are in compliance with ORS 701.055 will be used on this project.
Ilulther agree to ensure that all required inspections are requested at the proper time, that project address Is readable from the street, that
the p!'rmit 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'siQnls).
Signature
<<~ ~J
V
Validatioo:
Amount Received:
. 'I"
Receipt Number:
Date
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Date Paid: I " t.r?-,,' \ 4.0
Received By: 'fY\U \~