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HomeMy WebLinkAboutPermit Sidewalk 1995-06-15EP<C IAL SPRINGFI€'LOFE3rpIAL cuRgcuT AFPL rcATlof{/ P-sBll1 ENT ?rtTffiISJ.:'58lEiL"''-' ari=-iueee.rr'rc D lvl 5l ot{ FlcE r].c-12b-71>) lNsP=crloN LINE. -i26 -3-163 JOB ADDES3: a53=5a{)Rs I:lA?*-NO.'' 3J3DlVl5lON, 7 A_ Tax Lor No. REC=lPT NO,l7960 cA9l-.1 c'i=-c<,--' O.,Ll:i=R,t A * ADD=.je, ?oo w, trAt le-t*J cirY' 4/et uLfiEtP C';=C<=D :OR D=L lNCr=\C:=5 L 6 r<_ilP, I 7q71 PHCII: No. iiJCR< DE 9CRI PT I C,I'{, 3rr=irj.4i-<- -JZ" cuR3 5!r= - a=i=AC< -CUB-C$T: =gtDEliitA _ co:m=RtcAl _ s=COND DR|\€UJAY ( 5== iar-tc ) =aulRI9 APFLlCAilof.l FOR A SECol.lD DRI\€UJAY(T-/.Ia) OR,A COJNTY ATLICATIO|| FOR FACILITY P=3-1IT (C AA-2O3)F IN ru= U.G3. DAi= G A?=LICAIIO.I G'rfir oil,.€R. 6 e/eela-\r=^- o CONTRACTORl zrarort O/,/ rf =GrsrRATroN No. ?q7 I =:<,-i=5,?-A -?b /.9D=s9 Z? 4?4 B AI El,--,x=,4b/ - 05 q3 PROCEDURE FOR INEFECTIChI REAUE9T, CA)-L 126')163 (R=Co, =R ) STATE YOUR CITY D=9IGNAT=D JO3 Nt -iB=R, Jo3 /\DDre.9g,i'rp= #NsFEcrlohl reau=STED A{D utr{EN you u,lLL B= EADy rcR tNsp=clort, ioNr=rcroRs oR our{=Rs NAx= A\DP110.{= Nl,!'13=R- EAU=STS R=CEI\€9 B=rcE 1,oo /}nr rilLL 3= HAD= Ti-.{= 5tJ-1E DA.r, R=aJ=5T5 +;I:-:RltOOA'.1 IIJILL ts= t.lAD= TH= hl=XT UJOR<ING DAY EXIST |}+.g 9UILD ING P=ff IT No- (F A??LICAsL= ) JK YOUR CITY D=5IGNA if. IS,'5=-. god. REAUIRED INSPECTIOhIS 9ID=IUALK / DRI\GII'AYrcR ALL CONCETE PAVING IUIT;-.|IN THE STREET RIGHT OF IUAY, TO 3= I'14D= .€iER AL EXCAVATNG 15 COi.1PLETE AND FOR1 IJJOR< AI.ID 5U3-3A5= HA]ERIAL 15 IN PLACE ..CU / A?FF.OACI-{ APRO A=T=R rcS.19 A= ER=cl: tsUT PRIOR TO PO'JRING C,ONCR=TE- EE9' SIDEIIJALKS cuRB-cuT uJAL< XtlO.@O + *O.15/LF.( X ) OF UJALK tlO.OO++O.15/LF.(X)7 TOTA PERI-1IT FEE: COi-1I1E RICAL DRIV=UJAYg Si..{ALL HAVE 5'TO A'FLAIRS 3'- @" STA,IDARD t llvr cee=ajr-ur EXAyTNED COI.IPL=TED APPL ICATiOI{ rcR PEFO-IIT,, A\D DO }.]ER=BY CERTIFY ;IIZT ALLINFOSIATION HER=ON 19 TRJE AND C,oRR=CT , A\D I FL'RTH=R CERTIFY TI]4T ANY A\D A-L II,I'R< PEFO="EDSTALL BE DONE tN ACCORDANCE IUITH TH=ORDINANCES G THE CITY G SPRNC# IELD AND TH= LAJS G THESTATE OF OreGON PERTAINING TO THE UCR< DESCRIS=D H=R=IN, AND THAT NO OCCUPA\CY tUiLL 9= H.1D=OF ANY STF"JCTUR= U'ITI.IOJT PER'1IgSICN G THE BUILDING DIYI9IC}{ I FUR?I]=R CERTFT TL{AT ONLY CONiRACTORSAND EI1PLO.rEES UJI-.IO ARE THIS PROJECT * SIGNED IN CoIIPLIANCE IUITI-.{ CRs 1OIO55 IIJILL BE USED ON DATE I 6-rr'?{