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HomeMy WebLinkAboutPermit Sidewalk 1995-05-11REgIDENTIAL -C,OYIYIEF.CIAL SIDEI].JALK / CURe,C,JT APPLICATIOT.I / PERfiIT SPRI,{GFIELE' 225 NORTH FIFTI{ gTFEET SPRll.lGFtELD, OREGON 314'1'l El.iG lNEERlt'16 D lvl 5 lol''lffitcE No. 126-91>3 INSPECTION LINE z 12b - 316a JoA ADDRE99.eLL RECEIPT NO: cAS+.{ CI{ECK t/- ," ( z8c) A95E9WR9 I1AP NO.t7 0x 7 5 z z rAx Lor No.l4,TOo glBDlVlSloN,l?sz olil.{ER:;r tra'tz As'= e' /.\DDre.55,7O %x- 45G SrFue CHFCKEDFOR DE L NA,J =1.1C F_ :/CITY: STATE, O e z+-77 piroNE No.Z+V 4TO ( IIJOR< DE9CRIPTICN, SIDEIU,AI-K: J( curc-cuT: f5- =StDEfilAL x col-li-lERtcAl _ 5=COND DRI!€IIJAY ( gEE TRA;;IC ) eaUlR=9 APPLICATION FoR A *coND DRI\€tllAY(T-4.1a) OR A cOJNTY APPLICATIOI.{ FOR FACILITY P=B1IT (C 9e.2A3) IF IN THE U.Gs. DATE c APPLICATION S -I -75 Ij.JOR( TO tsE FERffifED EY: -tla c,ln= oul\=F?, ell-\t=n- DA1E, ,u coNTRAcroR =GrsrR.ATloN No.*/o 6 46?+CONTRACTOR."EXPIR=5, dt -5 ADDR=59 PiiONE' PRoCEDURE rcR Ng,f=ECTIct l FEaUE9T: CALL i26-316A (re,cOpER ) gTATE YOUR CITY D=gIGI.IAT=D JO3 NL1.,13=R, JO3 ADDR=gg,TYP= OF IN9FECTIOhI REAUESTED /J.{D UX]EN YOU IIJILL B= READY FOR IN9P=CTIOi.I, CONTRACiOF]' OR OI.U.{ERg NAI.1= A'{D PHoNE NU|l3ER R=aU=Si5 R=CEI\€D B=FoF= 1,o@ lS-t t lLL 3E I'1ADE Ti{= SAHE DAY, REAU=9TS A?IEF 1,ooAH UJILL tsE I1ADE TI..IE NEXT uJOR<NG DAY EXIgTI}.JG BUILDING P;R1IT NO. ( IF A?=LICAB.LE ) )K 5=E tu6.rouR crry D=srGNArED Joa No. tsf c; .5J., {,O I fREAUIRED IN9PECTICNS CU@ / APPROACI-] APRo'i! AFTER FOM15 ARE ERECTE BUT PRIOR TO POURNG C'oNCR=TE. I FEE9' SlDEllJALKg TOTAL FEffltT FEE: ilO.O@ + tO.lb/LF.( X ) G'ru,+r--K, 3i FTt475 I 495 r1@.OO+*O.15/LF.(X)lg trr € z,7o COiII,IERICAL DRIVEuJAYS SHALL HAvE 5' ro a, FLA|RS I Z. ZO3'- A* STADARD cuRB-cuT UJAL< X,z\ t-27. A5 I i.{A\G CAREFdLLY EXA*1INED TITE COI.IPLETED APPLICATiON FOR PER.,IIT, AND DO I{EREBY CERTIFY TI..IAT ALLINFOR-IATION HEREON 13 TR.JE AND CORR=CT, A\D I FURTi-.iER CERTIFY T}.1AT ANY AND ALL I!OR< PERFORTIEDgHALL BE DONE IN ACCORDANCE IUITI] TI-]E ORDINANCE' G THE CITY OF SPRINC#IEL D, AND 11-19 LATE G TI]EgTATE OF OREGON PERTA THE UJOR< DEgCRIS=D HER=IN, AND Ti.lAT NO OCCUPANCY IUILL BE HADEIOI] G THE BUILDING DIVISIOI'I I FURTI..IER .3ERTIFY TI{AT ONLY CONTRACTOR9 .IANCE rUtTH oRg 101.O55 U.ILL tsE USED ON Tl-{15 pRoJEcT. G DATE SIDEIJJALK / DRI\€I]JAYrcR ALL CONCRETE PAVING IUITi-]IN THE STREET RIGHT OF IUAY, TO B= IIAD= ATiER ALL EXCAVATING 15 COi.IPLETE AND FOffi1 IIJOR< AND 5U3-3A9: F1ATERIAL 15 IN PLACE