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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 _. .....~ ~ t@ II~ J09 ADPREe5: Zo l '2- / t<I.. L 6. /-.l c::> .dJ.A. <-I-' * . * AeSESSORS MAP NO. I;ti; - 0 -S - 0 2...- '3 3T AX LOT NO. 08 {CO 5U5DIYleI0~, !'CCEIFT NO, :f- 003 (I'Z- C":'5r1 C;';EC< OJNER> B Ae6e..A L. L-1 W1 0-0 / t<-/.LAIJ 'b 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. ~~'k~' :: is''2:> / / - j,r/r/ ;:).!..iE