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HomeMy WebLinkAboutPermit Sidewalk 1992-03-13t/ao I<tr,9[rtr,N I tAL - 9(rl-ll-ttrt<c-tAL gIDEIUALK / CURBCLIT APPLICATIOI.{ / FEtrlIT SPFIINGFIELEt 229 NORTI{ FIFTI{ gTREET SFRll.lcF rELD, OREGOhI 3'14'1'1 E} lGlhlEERlhla D lvlg|Ol.lffilcBNo, 12b-91>3 lNgPECTlOhl LINE: "126 -3'163 JOB ADDRE99: A99E990R9 tlAP NO.^9f-zz TAX LOT NO. 9UBDrvt9lO|,1: otr.NEFa Zr. ADDRE99,,?.7 <CITY' STATE:ZlPz PHOhIE IUOFK 5h RECEIPT NO, 3 CAg+ X cl.]Ec< * C+4=Ci<E,D FOR DEL NEJ=NCIEg 9lG|.{ED: L)At=, *fl7u8 3-) CURts-CuT: RE9IDENTIAL - Col"f1ERlCAL gECC'.ID DRI\E|,IJAY ( sEE TRAFFIC ) REaUIRE9 APPLlCATlol.l FoR A 9ECol.{D DRI\GUJAY(T-4.1a) OR A COIJNTY AFPI-ICATIa.{ rcR FACILITY PERHIT (C %-2O3) IF IN THE UG.B.2 -r? -qrDATE OF AFPLICATION .> T > \ (J 9IDEuJALF1 X*cuRs glP= - }ET1Ar;K x x X. coNTRAcroR '54L-4o- tzsOll.l.i=R *c REGI9TRATIOI.I NO. *EXFIR=9' ADDFE59 Pi-{ONE: P@EPUFE FOR lNgFECTlct l RE6IJE9T: -'t C4AJLL '12b'31bA (re.@@ER ) 9TATE YoUR CITY DE9ICNAT=D JOB NLJI-19=R JoB ADDRES9,T'rPE oF tNgPECTla{ REOiJE91ED A}.lD tlI'.lEN YoU tlJlLL ts= READY FoR NgPEcTlof.{, CohlTRACioRS oR otlr.lER9 NAI.IE AID PlloNE NLr'1tsER. REaUEgTg RECEI\ED B=FoRE \oo N IUILL BE IIADE THE 9AF1E DAY, R=aJ=gTg IFIER lzoo Al'l IUILL tsE I1ADE THE NEXT UJORKIIIG DAY EXISTINIG tsIJILDING PERI1IT NO. ( TF APPL ICABLE ) -T4rr[ -g -qz - qeot I *YOUR CITY DE5ICNATED JOB NO. Igf fza:,rg9EE BOOK 9IDEI,UALK / DRI\€I]JAY FOR ALL CONCRETE PA\/INC IUIT}{IN THE 5TR=ET RIGI]T OF IUAY, TO 3E I1ADE AFTER ALL EXCAVATING 15 COIIPLETE AI.ID FORr1 IJOF< AND 9,]B-BA,* I1ATERIAL 19 IN PLACE CU@ / APPROACH APROI{, AFrER rc815 A= ER=CTED BUT PRIOR TO POURNG C,oNCRETE. FEE9: 9IDEUJALKS TOTA FERI.IIT FEE: 11O.OO + rO.lb/LF.( X ) OF IIJALK I fo cuRts-cuT 3 O' ttooo + *a.1>/LF.( x ) IUALK X, COt.l}.1E RI CAL DRI\GIUAYg gHALL HA\€ 5'TO A'FLAIRg 3,. A" STADARD I i-]A\€ CARERILLY EXAI.IINED TI-1= COI'1PL=iED APPLICATIO}.I rcR PEBIIT, A}'lD DO FIEREBY C=RTIFY TIiAT ALL I}SOff1ATIA{ HEREON 19 TRIE A\D CORR=CT, A\D I FURTI]ER CERTIFY THAT ANY AND ALL Ui2R< PERFO=1ED 5I]ALL BE DONE IN ACCORDANC= IIJITH TIi= ORDINANCES OF THE CITY A= SPRIN"#IELD, AND TT= LAUS G TI{EgTATE G ORE6ON PERTAINING TO TIl= IIJOR< DESCRISED FiER=I\, A\ID Ti..{AT NO OCCUPA\CY U:LL 3= I1ADE oF AhlY 9TRLICTURE LUITi-{oJT PERllg9lOrl G Tl{E BUILDING Dlvlslol.l I FuRTI.{ER cERTIFY THAT oNLY CONTRACToRS IN COHPLIA\CE I,UITI.{ ORs 1O1O>> UJILL tsE USED OI'{ TI-]I5 PROJECT 7- \3- qz 5 A-= REOI.IIRED IN9PECTIOI.Ig