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HomeMy WebLinkAboutPermit Building 1995-06-22)'t/ZO REgIDENTIAL - C RCIAL SPFlINGFIELO 225 NORTH FIFTH STEET SPRI!.IGFIEL D, OreGa| 31411 =NG INEERING D IVISIOI.IGtcE NO. 126-)113 IN9P=CTION LINE, 126-3163 h, Jo1 ADDE39, A3-a=-9*R3 I-1ZP NO.o SJ3DlVt9lON: 7 ,Rrc=tPT NO: /7ftlo CA*4 c';=-c< TAX LOT NO o..Ll.i=R,f / n-Eca- 5T,1E: O ztP, 174-71 Ptc,\i= !..io. * ci=c<=D FcR D=l-tNau=NCl=5 1- l?Y- ii/r'R< E9CRIFTIC,i{' 9rr=uai-<, -Jz'e=- /.-7 CIJR3-CUT: =5lD=iilAl- - CO:-1|1=RICAL _ s=COND DRiV=UAY ( 5== iRAi+tc ) RSAiJI=S APPLICATION FoR A -CoND DRlv3u Ay(T-l.la) OR A COJNTY Atr.ICA?IOI.{ FoR FACILITY P==-iIT (C aa-2o3) tF rN Tr-i= uc3. D/^i= G APPLICATIO! Ij,ICR( TO tsE FEFOfffED EY: OU..l=R cof.i;RAcioe* aA'TOLl ct*lSzattclroll J' =clsiRATtoN No. 41-7 I =x?i=5.?-z.l -?b rr/ze /oi CONTJ<ACTOR l^--ca z?9?4 B Arerozr z/.?;c\=.4b1- 05 45 PRCCEDURE rcR INE,f=ECTIC'I'{ REAUEST: CI;LL 126-3'16e (Ecorc=R ) STATE YoUR clrr D=glcNAT=D Jo3 NUT'1==R, Jog AJ:DF€Sg,ryp= GNSF=CT|A{ reOU=s]ED A{D IIHEN YOU u,lLL 3= =ADY rcR NgP=cTlCl.{, r-<-,^aTRAClo=5 OR ou}€R5 NAX= A\D PllO':'{= Nt-tr'i3=R. EAU=SiS R=CEIVED 3=FOE 1,OO /!'r IUILL 3= l1AD= Ti.{= SAllE DAY, EAJ=9i5 -=iER. 1,O.OAY UJILL ts= IIAD= TI+= N=XT [!OR<ING DAY EXISTII.{'g SUILDING -31IT NO. T F APFL lC/\3L= ) *YOUR CITY D=SIGNATED *l3i5== Bi2,o< reAUIRED IN9PECTIONS 9ID=IUALK / DRI\EIIJAY F-OR ALL CONCRETE PAVING IUIT}..IIN TI-{E 9TR=ET RIGHT G IUAY, TO 3= rAD= A=?ER ALL EXCAVATNG l5 conPLETE AI.rD FOR-I ruc=< A).lD 5U3-3A9= IIATER|AL 15 lN PLlrCE ,.CUE / A?trOACI{ APR(7 A=T=R rc815 AE ER=CT BUT PRIOR TO POIJRING CONCR=TE. FEE9' SlDEllJALKg tlO.OO + *O.15/LF.( X ) OF uJALK CURB-CUT ,IO.OO+*.O.1)/LF.(X) IJJ,AL< X I COi-fIERICAL DRIV=UJAYS SHALL HAVE 5'TO A'FLAIRS 3'- O" 9T,/{\DARDTOTAL PEF1IT FEE: I i{I\G CARER,LLY EXA'1INED TH=APPLlcATiOl.l FoR PER-11T. A\D DO HER:-BY CERTIFY ;l-.l,/-T ALL hrcBlATlohl HER=ON 15 TR'JE A}.{D C,oRR=CT, A\D I F"'RTii=R CERTIFY Tr-{4T ANY AND ALL ujOR< PEE:OS-]ED $IALL BE DONE tt'l /1C.CCrcANCE UITH TH= OPr\NA\CES G THE CITY 6 9PRINC#IELD, AID 11-r= !Atl,5 G TtlE STATE G OreGO>l PERTAINING TO Tl{E IIJOR< DESCRIS=D l-=RElN. A!.{D Ti-{AT NO OCCUPANCY IUILL 9= H:D=C ANY STB.ICTUR= U'ITI.Io.JT PEg-1IggION G THE BUILDNG DI\45IC}T I FUR?II=R CERTFT TFIAT ONLY CONTRACTORSAID EHPLOYEES U}IO ARE IN CO{.1PLIAI{CE IUITI{ O@ IOIO'> IUILL BE US=D ON THIS PROJECT. SIGNED DATE 9ID=UJALK / CUR3CUT AFPLICATIOI{ / PEB1IT ,--' \A/, €Ate-vtas*l 6 e/<- e/zz/e{