HomeMy WebLinkAboutPermit Signage 1996-4-30
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SIGN PERMIT APPLICATION
srnlNCFIELD
.
JOB NUMBER
~\cOrll1
..... ....
225 Filth Strcet
Sp,ingfield, OR 97477
SITE ADDRESS: /Q.).</ J-btJ/U.ovJ {lp1Oi>
ASSESSORS MAP: { III "'-.1/ (.)( I
/(IIJQIOtL. 131-1 HIJO
/DZ,t( H.#'l(.OW &1Ili>
Inspection Line: 726.3769
Office: 726.3759
TAX LOT:
/1-:';, )~.
OWNER:
PHONE: 7'N - zzvl
. .. ~
ADDRESS:
CITY: s,Per NhPr?-<-1>
BUSINESS NAME. FIRM EtC.:
STATE:
oe..
ZIP:
'1'1 <.f--r1 '
,.
fJAClC.. : $lhp
DESCRIPTION OF. PROPOSED SIGNIS): (please check and complete all appropriate Informatlonl
~Wall
Freestanding
_ Projecting
Roof
Marquee
_ Single Face
Double Face
Billboard Other ~
- Total Height above G/ad0
H ~on I Width 01 sign or enclosure: /<<1 '''} "
Electrical Installatio( V' es _ No . VALUE
IIf yes addi~ional elec 'cal rmit is required) OF SIGN: 2.600 ,
Square Footage:
~,r::,JZf
""
Vertical Dimension of sign or enclosure: .-f
Dimension from Grade . If I
to bottom of Sign Enclosure:
Material Sign is constructed 01: ~ u€-n<fl..- . IVh:)M. .s~
List ALL existing Signa~~ and aUach a photograph 01 aach .Ign: i\ \ ~
la) Type Sq. Ftg~ lb) Type
, ,.
.,
(c) Type
Sq. Ftg.
ld) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/INSTALLER:. f{Aai7 # ~ ~6N So
ADDRESS: -ZC4 ..)~ON'
CITY: f3j6~e
CONSiRUCTlON _CONTRACTORS REGISTRATION NUMBER: btf&:'/~
PHONE:
STATE:
bK-
ZIP: q,f/Ol
EXPIRES: 3/", 7
EXPIRES: ~h7
CITY BUSINESS L1CENS~ NUMBER:
~03.({...
OFFICE USE
\ ~ }.\)\0
Sign Dist~ict:~A
Zoning: ~ ~ ) l \
4\) ,a)
Land Use:
~'2ft ) Quad Area:
Code Section:, ~ ~ ~ - \L\( \ "'\
. Approved BY:.iili(\ \ - <)){W 1L )
DATE:
4J,q.Cflo
Sign Permit Fee:
REQUIRED INSPECTIONS:
/
Attachment
after fasteners BrB prior to energizing
ii/;J:;?;ver I1:::JltallatiOn
~ectrical
~Final ..
completion of sign
Installation
. Site Footing
..,.. to be mode prior prior to placement
to .51.gn, placement of concrete J
Addl'tional Commeots and/or Conditions:
. V'-..,
t.
By.signature, I state and agree, that I have carefully examined the completed application and do hereb~ certily that all inlormation hcrcin
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 lurther certlfy.that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project.
Receipt Number:
h?>.'2D
'2.-1330
Date Paid:
Validatida:
Amount Received:
. i"