Loading...
HomeMy WebLinkAboutPermit Sidewalk 1995-06-2211/zo JOB ADDE99,4 A53=55,oR5 HAP NO.)r 225 NORTH FIFTI-.I gTR=ET SPRn {3,FIELD, OREGohl 314-1-.1El'lctNEERlt {G DtytItot lGtcE No. 126-31b3lNSP=cTloN LtNv. 126 _ 3:,63 RESID ENTIAL COIIIYE RCIAL SIDEIJALK /CURBCUTAFFLlcATtoN / PER-ltT SPRI,vGFTEI-O - 7-q / TAX Lor No. REC=rpr No: l7?CG CA*.1 CH=C< --{--- cH=ci<=D FoR D=LNai*-a,=r* - ogJ3DIVISION, oJlER. A]-,trx=55:o ZIP, ii]cR( DE 9CRIPTIOh{: 5l?=djliK, DA]= O= APCLICATION /"- u4{ * CITY: q Pi]cN= No oiiN=R -t/T^urRAcroR L-Jx=r-c-u i: ;;;;"r\,=rAy , u== =,:,]i'* _- co'1H='RrcAL -- R=au I =s AppL lcAT lof.{ FoR A s=coND DRI \z3i.lJAy( T _ 4.1a,) FT^rrrfl:.g.AppLrc4?roN ;on ratrlrri p==rrr (c al_2o3) 9lct'(:r, DA]E. CON;RAC r(r- =GISTR.ATION NO.*oN az7 / =xpi=s,3-zt 4LADD=S5 A @oer {4" PROCEDUFE FCR IN9FECTIA{REAUE9T: CAJJ- i2b-3169 (EcopER .)STATE YOUR CITY D=9 IGNAT=D JO3 NL'I-i3=R, JO3 ADDR=gS,TYP= +lNgP=CTlO|{ EAUESTED Al.tD U'F{EN YOU I.UILL 3=R=ADY FOR lNgp=CTtotl,I-s^-TRACTOR9 OR Ot) =Rs ll /V= /!r^r\4, .; ^\yPl-iol'l= Nt-['13=R. reou= gTg R=CEIVED B=FOre .I,oo ts1 UJTLL 3= tlAD=TH= SA}1E DAY, R=AJ=9T9 l.FiTa 1.MAi1 UJILL A= HAD= TH=N=XT IoR<ING DAY EXISTll.{.g SUILD )r^E o?eb ING P=31IT NO. ( IF APPLICAsL *9E= BAOK EE9' SIDEUJALKS CITY D=5IGNA )03 SIDEIUALK / DRIVEIIJAYrcR ALL CONCRETE PAVNG IUITiJIN TI{E sTR=ET RIGHT 6 IUAY, TO 3=rAD= ,4TER AL EXCAVATING 15 c.oi-iPLETE A{D FoR-l ulcR< AND 5U3-3A9= I1ATERIAL 19 IN PLACE -l lt?a,-/-r ri tlO.OO+tA.l>/LF.(X) 5r COi'II1ERICAL DRI\€ tIJAYg 9HALL I-{AVE 5'TO A'FLAIRS 3'- A'gTA\DARD .CUR3 / A?tr,AACH APR(/] AFT=R rc815 A= ER=CJ] BUT PRIOR TO PO'JRINGCONC:TE. IJ.JAL< X, TOTAL PERHIT FEE,r1 tlo.Oo + tO.tb/LF.( X ) OF IUALK /O.ao +7-/o q.?o I ;-{a\G CaR=FULLY EX.{YINED THE co!'IpLETED AppLrcATioN FoR pEglrr, A\D Do lrER=By cERTrFy ;FiAT ALLINFOSIATIOh{ IIER=ON 13 TRLIE AND CORR=CT, A\D I R'RTH=R CERTIFY TI-{AT ANY A\.ID ALL t,!OR< PEFOS-1EDSTALL BE DONE TN ACCORDANCE TUITH TH= ORDIN:NCE' G TI.{E CITY G 9PRINC#IELD. AJ.ID TH= LAUrS cF Tr.]ESTATE G OreGON PERTANNG ]O TI-IE I!OR< DE3CR,I3=D H=REIN, AND TI{AT NO OCCUPANCY IijiLL 3= I-1AD= OF ANY STHJCTUR= IIIITI.IoJT PEK1I59IC},.I G THE BUILDING DIYISIC}T I FURTH=R CERTIFY T}.IAT ONLY COsi'iR.ACTOFA9 /J.lD EIIPLO]EE9 tlJi-{O ARE lN COIIPLIANCE tlJlTH Oe<9 A@1c55 IJJILL BE uSiD ol'{ rHls PRoJEcr. \ iNED ^ TE I cllR3 glD= ..- | ^ f*/*4 ta -^^ +5 ryLl-B a.()7t REaUIRED INgPECTlct lg G