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:
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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:
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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