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HomeMy WebLinkAboutPermit Sidewalk 1994-11-15 [I '" . ~5IDENTIAL - COM1'1E~CIAL ~ SIDEWALK I CUR6CUT.. APPLICATION I PERMIT :'. - Ii~ 225 NORTH FIFTH STREET SPRINGFIELD, OREGON ~1411 ENGINEERING DIVISION OFFICE NO, 176-3153 INSPECTION LINE, 176-316~ JOB ADDRE58. --57 S /Il/flll/ 51." .5?',e/~fiG.cz..~ \ ASSESSORS MAP NO.*' nn~0~( TAX LOT "10:* \()~~ SUSDIVISION, O'J.NER, ___ h)fV@ J1'Y ~ ADDRESS, ___ r?O /lJjfj)1.fJ,v )jf-. STATE, ....-- ~ ZIP, --=-'7'7';452- Uk:>Rl<: DESCRIPTION. SIDEWALK, ~ CUSS SIDE_ CURS-CUT, RESIDENTIAL _ SECOND DRIVEWAT (SEE TRAFi'IC ) REQUIRES APPLICATION FOR A SECOND DRIV=WATr'T-4.1a) OR A COUNTT ,t.PPLICATION FOR FACILITT PERMIT (C '?;8-703) IF IN THE U6.9. CITT, ~~ PHONE NO. .3.~.3'-Y.l"1'.1~ S:TBACK COMMERICAL ~ DATE 0.= APPLICATION II /;~/f'l SPRINCFIELD RECEIPT NO, I S ~ "ill CASI-I CHECK ~ 11-- 0/44 *' CHECKED FOR DELINQU:NCI:S' 4 j '* ~ t;:..~ 11-1S'.f-# .SIGNED, DAiE: 1lX)RJ< TO BE FE~~ I:::D BY: OI.!.N:R ~CONTRACi'OR CONTRACTOR't---~'-IANNO~ IiAMI L-r"OI-.^ REGISTRATION NO':-{,62.30 EXPIRES'<..-b/sks- ADDRESS ,~?'f'fo ISoLaN'O 67'~-r -'7p.IlJI..a:..Pi.lU-p PHONE'.,.-'7<,170:O:\\, PROCEDURE FOR lN5FECTION REauE5r. CALL 176-316~ (RECORDER) STATE TOUR CITT D:SIG~TED J05 NU:-19:R, J05 ADDRESS,lTFE 0.= INSPECTION REQU:STED A'lD II.\-IEN TOU WILL 9: READT FOR INSPECTION, CONTRACTORS OR OUN:RS NAi'"1: 4'lD P~ NUM9ER REOJ:STS REC:IVED 9:r",,,,", 1,0" t.'1 WILL 9: MAD: TH: SAME DAT, REOJ:STS AFTER 1,00 A'1 WILL BE MAD: TH: NEXT Ul::>!<!<ING DAT *' 5:: BOoK. EXISTING SUILDIN'" PERMIT NO. ( IF APPLICABL: ) TOUR CITT D:SIGNA TED J09 NO. Isf '1Lf I 741 REQUIRED lN5F\:CTION5 mlDEWALK I DRIVEWAY FOR ALL CONCRETE PAVIN", WITHIN TH: STREET RIGHT 0.= WAT, TO BE MADE At::iER ALL EXCAVATINCI 15 COMPLET: AND FORM WOR< A"lD SU9-9AS: MATERIAL 15 IN PLAC: D CURS I APPROACH APRON AJ=TER FO~5 ARE ERECiE SUT PRIOR TO POURING CONCRETE. FEE5. SIDEWALKS CURB-CUT WALK x' ~10,OO . ~0.15/LF. ( X ) ~10.00 . ~.15/LF. ( X ) / "" OF WALK COMMERICAL DRIVEWATS SHALL l x' I. J J,S-{) HAVE 5' TO 8' FLAIRS ~ 3'- o' STt.'lDARD " " TOTAL F\:RMIT FEE. I HAVECAREFuLL T EXA..,INED THE COMPLETED APPLICATION FOR PERMIT, ':"'lD DO HEREBT CERTIFT TH.l.T ALL 1N"...oRMATION HEREON 15 TF'aJE A"lD CORRECT, A'lD I FURTH:R CERTIFT THAT A'lY ,j,'lD ALL WOR< P:!Q'ORMED SHALL BE DONE IN .l.CCORDANCE WITH THE ORDIN"-'lCES 0.= THE CITT 0.= SPRING:FIELD. AND THE LAWS 0.= THE STATE 0.= OREGON PERTAININ6 TO THE WORK DESCRIBED HEREIN. "-ND THAT NO OCCUPANCT WILL BE M4DE OF ANT STR'JC - U.lIT!-lOJT PERMI!'>SION 0.= THE BUILDING DiViSION. I FURTHER CERTIFT TI-IAT ON~ 7TRACTOR5 4ND EM WljO~, ,'" COM,o>LIANCE WITH ORS 1"1,05l> WILL BE USED ON T!-lIS ~:~77r DATE '