HomeMy WebLinkAboutPermit Sidewalk 1991-11-15
225 NORTrl FIFTrl STREET
SPRiNGfiELD, OREGON '01411
ENGINEERIN(; DIYISION
OFFICE NO. 12..-3153
INSFECTlo-l LI:--E, 12..-31..'0
RESIDENTIAL - . COMMERCIAL
.. ", SIDEWALK I CUR!3CUT ":..
APPLICATION I FER1IT _.
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J09 ADPREe5: Zo l '2- / t<I.. L 6. /-.l c::> .dJ.A. <-I-'
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AeSESSORS MAP NO. I;ti; - 0 -S - 0 2...- '3 3T AX LOT NO. 08 {CO
5U5DIYleI0~,
!'CCEIFT NO,
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003 (I'Z-
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C;';EC<
OJNER> B Ae6e..A L. L-1 W1 0-0
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ZIP, 97477
ADDREe5, 20 { '""L
STATE, O-e:-
CITY, "'5 PFL. P
. P";ONE NO.7 Z&.- 8/7 (
C!-!:CK:D FOR DELINQ'J:NCIE5* V
llJORK DE5CRIFTION:
SIDEWALK, --LS-
CURS-CUT, K
CJR!3 SIDE _
RESID:N,IAL _
5ET!3ACK _
co.-n-I:RICAL _
SECOND ORlYEUJA'f (SEE TR.,t..,tTIC )
REGl'JIR:5 AFPLICA7ION FOR A 5:C= DRIV::WATI"T-4.1al
OR A co.J!'.:rr APF'_ICA7ION FOR FACILITY F:R1IT IC '08-2031
IF IN Tl-E U.G3.
DAiE OP ":"PP:.IC.4TION
/1/IS/9(
SIG-":D, tPtO 9AlI:::EJc::-
;)A;:, /I I,e; /9 /
UJORK. TO BE FE~"", ,,,,p SY:
CONTRACTOR * 2.4 I'-' S!-! A e F"
O:rN:R
x
ADDREe5
7."'" 7-1 'Z-
/"'3.-;<;.. ^ Ph\.. 1:::.6
CON~CiOR
REGI5'i'RA,ION NO.* c:;;.c:>9Z~ EXPIRES, 7/r ~/9Z.
l~ T:::::='" Pi-iONEI ~:;? R- 0 I "S'"C
........ .. _. .UR!: FOR IN&A:CTION REQUEST:
CALL 12..-31..'0 lRECOR:>ER 1 STA;: YOUR CITY DESIGNA,=D J0!3 toI.J:oS:R. J05 A::>DRE5S.,...,.-pE OF
1N5PECTIC'N REQ'JE5TED A"'J::> Uk-iEN YOU W!LL 9: REAOY FOR rN5PECTIC'N, CONTRACTO~ OR oc.NERS Nt..."'"iE At<..lD
PI40NE NUM5ER. REGlJESTS RECEIV::D 5:r-OR:: 1,= t..'1WILL 5: MAD: TrlE 5A'1E DAY. REaJE5,S AFTER 1,=
AM WILL 5E MADE TrlE NEXT WOf'KING DAY
'* 5EE 500K
EXISTING l3UILDIN(; FER1IT NO. I IF APFLICA5LE 1
o~~
<9//-:;;;[,-,
YOUR CITY DE51G.'lATED J0!3 NO. IS'f
REQUI~ IN&A:CTIONS
[tJ
SIDEWALK I DRIV::WAY
FOR ALL CONCRETE FAYIN~ WiTi-iIN
TM: STREET RIGI-.IT OF WAY, TO 6:
MADE k<ER ALL EXCAYATIN(;
15 COMPLETE A'O FORM llJO;<!(
-'-'0 5:.J5-5A.5E MATERIAL IS
IN PLACE
D
CUR;3 I AF'Fl<OACrl APRON,
Ar-<ER ~S ARE ERECTED
l3UT PRIOR TO FOURINc;,
CONCRETE.
FEES:
SIDEWALKS
~10.00 . ~0.1:;/L;:. ( X )
or WALK
CURB-CUT -ze
~10.00 . ~.I:;/L;:. ( X )
TOTAL PERMIT FEE:
s /4 ~
COMM::RICAl DRIYEW,AYS &~..!..LL
rlAV:: 5' TO 8' FLAIRS
3'. Oa ST.4."-:Dt.RD
WALK X'
/ "'"
I. x' I.
" "
I ;.J,t..VE C.L.R.E~JLL"" EX'!""'1[NED Tr-;=: Ca1PLETED ~FPLlCATION FOR FE~rT, "':'''''10 DO HERES1 CERTIFY TJ-IAT .ALL
!N~R"1ATlo:-..: I-lER:ON 15 TRJE A".:D CORRECT, ...:."'D r FURT~ER CERTIFY il-l.L.T ':"''1.,... ":"'l.D ~L ll.OR< PE:oo:.:-'-'~ I=D
5~ALL BE D~E !N 4CCOR::>.L.'l.CE WJTr-4 Tt-lE ORPlN~"JCE5 OF TJ-IE CITY C*= SPR1NC:r.=IELP.":"'lD i;"';E L.AUJ5 OF j;"';E
5T~TE OF OREG:O~ PERT.4.INtNC:S TO T:..jE WO~ DESCRISED I-IEREIN, ,L..'l.D Tt-lAT NO OCCUP.L.'JCY WilL 9: M..t..DE
0:= 4~"'" STRUCTURE L:JITl-40:JT PER"i1551ON OF TM: SUILDINC:. DIVISION. I FURT~ER CERTIFY i;"';':'" T O~L"'" CONTRA.CiORS
"=""'D EMPLO'(::ES ~o A.RE IN CO:-1PLlA~CE WITt-! ORS 101.0505 WILL BE USED O~ 11-41& PROJECT.
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