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HomeMy WebLinkAboutPermit Sidewalk 1995-06-22RE3IDENT I AL - COTANERC I AL<sID=IUAK,/ CURBCUT APPLICATIOI{ / PER-IIT SPRINGFIELO 225 NORTH FIFTH sTreET gPRll.IGFlELD, Ore60',t'{ 914'11 =NG INEERING D I\/IS IOI'{ ffitcE No. 12b-31b3 lNgP=CTION LlNi. 126 - )16a h, JOg ADDEg9' a5-e=-gtr,Rs raP No.+ RECEIPT NO: 4 r*TAX LOT NO. "'Oo CA* CH=C<Sl3Dlvl9loN o.i.h]ER,A * CH=C<ZD FOR D=L INE]3CI=g,.h-Eqq-CITY.ltj PrlaN= NO. iji,cR< E Ct'{' 5I?EIIALK: CUR3-CUT: R=9lD=liTlAl- - COi-fiY=RlCA,L - S=COND DRIVEIIJAY T 9E= iRAFIC ) RSaul, 5 APPLICATTOTI FOR A -Co,\D DRt\€uJAy(.T-4.1a) OR, A CO'JNTY AtrLICATIOi FOR FACILITY P=31IT (C A8.2OV) tF iN TFi= UC,3. DA7=- G AP.CLICATION IIJOR( TO BE FEFOB1ED tsY:oi.lJ\=R effi-;,24V CONi=ACTOR *coriTRAcToR "'*R=GI5'i.R.ATION NO. Pi-;r\=, FROCEDUE rcR IN9FECTICN REAUEST: c.A-L 12b.3169 (=,C@ER ) STATE YOUR CI]-r D=9IGNAT=D JO3 NtJI.i==R, JO1 ADDF<=9.5JY?=- G INSFECTIOI{ R=OUESTED /J{D UX-IEN YOU UJILL 3= R=ADY rcR lNgP=CTlOirl, c.<-r^aT,RACToRS O.r? Ou =R9 NA:= A-iD Pi-.loN= Nt['13=R- R=OU=STg R=cEl\€D B=, 8 1,oO /-!1 tiJtLL 3= HAD= Ti-.{= 9A1E DAy, EAU=9i5 #rER -,,?2 ,Al'1 UJILL A= HAD= Tli= I.EXT UirR<lNG DAY EXISTll{-; SUILDING P=R-llT NO. ( lF APPLICABL= ) *9=-= *X.YOUR D=sIGNATED JO3 NO. I9T sID=IIJALK,/ DRI\EuJAY FOR ALL CONCRETE PAVING IUITI..{IN TI{E STR=ET RIGI-.IT OF UAY,lO 3= IIAD= A=TER ALL EXCAVATING 15 COiIPLETE AND FOB1 II,,CR< A\D 5U3-3A9= HATERIAL 19 IN PLACE O .CUB / AffiOACI-] APRO] ,€r=R rcs15 A= ER=C'ir BUT PRIOR TO POJRING C.ONCR=TE. FEE9: 9IDELUALKS s7 a.oo tlO.OO + hO.|5/LF.( X ) OF IIJALK tlA.OO+yO.1>/LF.(X) COi-1I1E RICAL DRIV=IIJAYs 9HALLI{AVE 5'TO A'FLAIRS 3'- O- 5TA\DARD t-l l=9,-t/-l la UJAL< X TOTAL PEfflIT FEE: + 6a'{ ,lfoZZ.oc-,* LZ,oo I ;{A\G.CAR=FULLY EXAYINED TI-.IE CO|.IPLETED APPLICAiiON rcR PERiIIT, AND DO }-]=R=BY CERTIFY ;I.{I.T ALLIN-iO$1ATIA{ F.]ER=ON 15 TRJE A\D CORECT , A\D I FURTH=R CERTIFY TI]AT ANY AND ALL I!OR< P==O3-1ED5I]ALL BE DONE TN ACCORDANCE TUITII TH=ORD|N.I.NCE9 G THE CITY OF 9PR|NCTF|ELD, A|..ID Ti-.lE LAl.lj5 G Tt-iESTATE oF OREGON PERTAININC TO THE tlrrR< DESCRIS=D H=RElN, AND TI-]AT No OCA)PA\CY IU|LL 3= I-1,1D=G ANY STFT'CTU= U'ITI.{OJT PEFI r99rorl tr Tt.{E BUILDtNG Dt\,tgtC}t I FuRiHER CERTIFY ]I..{AT ONLY CONTRACTCA3AND EI-IPLOYEES UJi-]O THIS PROJECT \ ARE IN COI.IPLIANCE IIJITI{ c1R3 1O1O>5 IUILL BE USED OI.{ DATE \ 11 b2- n7a6 ,/-' 4oo W -.- /t I zt?,17471 Le -zz-? { ( C-c>xstaxatDFl / =x=i=s,4-Z/-?b ?r{tzs' REAUIRED IN9FECTICT{g t.o-54-9s