HomeMy WebLinkAboutPermit Sidewalk 1993-03-15lt/ao
JOB ADO=*,
A99E990RS l,1AP NO.
gLlBDtvtgtor.l,
ou.|.lER:
/ 7 -o3*2
IDEN TIA,L
T
9- 3 z_ TAx Lor No.
IAL
ffim*rqa;:'
---
7 7oe>
ADDRE99,%/
No': aazzfZ
'HE.KED FoR DELNau*",aa* {
Jt
CA9+1
ct.tEcK
RECEIPT
9lGNEDr
DATE:
APPLICAT
lCATlOt'l
9IDETI'ALK:CURts 9IDE 9ETBACKCl.JRts-CUT,REgIDENTIAL col-ltlERtcAL9ECONDDRI\/EII,JA,Y 9EE TRAFFIC )REAUIREg lotl AFOR 9EcoND DRI\GIIIA YQI -4.1aORAcotl.lTY APPL FOR ILFAC ITY PERI"lIT (CIF 9A-203)IN THE UGB.
)DATE OF APPLICATIOI.I
T CITY:
STAlEr 6tQ81 Ztpt 77 Pr.{ohlE No.
v
coNrrRAcroRouhlER
*?10//8/n/a zo
ADDRESS
, REGI9TR,ATIOI.I *o.x @g+3 EXPIREg,o7/o 7/"s323brut/07rue EUa€At€?74a I Pr-{or{E: 34-t44TPrcCEDURE FOR INgFECTICN RE@uE8?,
EXt9TtN6 No. r
x $EE BOOK CITY
/ DRI\EIUAY
CONCRETE PAVINC uJtTt-.ltNTHE gTREET RIGI..IT OF IUAY ,TOBETIADE AFTER ALL EXCAVA,TtNG
CURB / APFROACI.I APROt.I,
AFTER FOF'.15 ARE ERECTED
BUT PRIOR TO POURI}{G
CONCRETE.
3
REAUIRED INgFECTIOT{g
19 COFIPLETE AID FORI1 U,TOFK
A}.ID SIJts.tsAgE F1ATERIAL 19
IN PLACE aFEE9,
OF UJALK
TOTAL FEFt'llT FEE,t /0,75
CURB-CUT
+ra.lb/LF.(X) f '|IOOO+to.l5/LF.(X)u'ALK X,
COI.IFIERICAL DRI\€IUAYg 9HALL
HAVE 5'TO 8'FLAIRS3'. A'STA}{DARD
I },IA\G CAREFULLY EXA1INED TIIE COI'IFLETED APPL ICATIOhI FOR FERIIIT,, AID DO I]EREBY CERTIFY THAT ALLINFORI,IATIOhI I-]EREON 19 TRUE AND CORRECT, AtlD I FURTUER CERT|FY THAT ANY AlD ALL IIJORK PERFOFfiED5HALL EE DONE IN ACCORP ANCE UJITH THE ORPINAICES OF TI.{E CITY OF SPRI\.{GIF\ELD, AT.\D TI.{E LA$5 OF THE
$\A\E CF OFEGON PER\A\N\MJ \O \I\E \})R( DESR\BED |\EFE\N, AI.\D \l{A\ No occutANcY \!\LL BE I-IADE
cF AIY SIRJCIUFE u\I\lo\i1 PEFf1l5g\ot \oF Tl-{E BUILD 1N6 DIVIS\ON. I FURTI{ER CERTIFY THAT ONLY CONTRACTORg
[JlTt{ oRs AO\Obb U\LL BE USED ON THI5 FROJEC]
3 -l<
AID EI1PLOYEES UHO ARE N COF1PLIAICE
DAXE
-9t
CURBCUT
/ PERI,'IT
/
D-CAZ
)*t (/qz
E