HomeMy WebLinkAboutPermit Signage 1999-12-27CITY OF SPF OPEGOA'
SPFlINGFTELf)
DEVELOP M ENT S ERW C ES DE PARTM E NT
225 Fifth Street
Springfield, Oregon 97 477
BANNERPERMIT
COMMUNITY SERVICES DIVISION
225 FIFTH STREET
SPRINGFIELD, OR 97477
(s41 ) 726_3753
FAX(541) 726-s689
Office: 726-3753
INSPECTION LINE: 726-37 69
Banner Location
Assessors Map t] o 3 ): ? Ll
Owner of Property:
Address
City:
Contractor/Installer:
Address:
City
Signalure
TaxLot O
Phone #: 74/ -'1
State: C/A zip
Phone #7/1/
State:zip: 77ft2
Construction Contractors Registration Number:Expires:
Description:
Date of Installation Date of 2{-o--1
Banner Permit Fee $40.00 Deposit Required $100.00
By signature, I state and agree that I have carefully completed this application and hereby certify that all
information herein is true and correct. I further agree and understand that the above described banner (s) is not
larger than 60 square feet, and will be removed within 14 days flom the date listed above. If the banner(s)
is not removed within the timeline specified, I will forfeit the $ 100.00 dbposit. I also understand that this special
permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at
726-3769 by the end ofthe 14th day to request an inspection to verifu the removal ofthe banner(s). This inspection
will begin the process to return the $100.00 deposit if the banner(s) has been removed.
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Date of Application rl-71 - 11 1 ts--Receipt #:
OFFICE USE
Job #
Issued By (u-i
Q1 t
Amount Collected: #4A ,
-
Wrrlo
%Tb
SPRINGFIELD
Report lD : SPRA103
Voucher lD :
Handling Code :
City of Springf..l
Vendor Number :
Voucher Date :
lnvoice # :
APProver:
OPerator:
Gross Amount:
BY Proi/Grant
2000
Voucher
00014608
RE
0000004091
Apr 06, 2000
4-6-2000
Puent,David
wtLS5940
200.00
Amount
200.00
Stacor CompanY
1811 Pioneer ParkwaY
Springfield, OR 97477
Description
Banner refund
Account Fund 91g SubGlass
215500 821
Gomments: ffi?:::;?ll*L"J,.t1'Mohawk
& 1811 Pioneer Parkwav