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HomeMy WebLinkAboutPermit Sidewalk 1995-06-20REgIDENTIAL - COIIIIERCIAL StDsllAK,/ CURSCUT APPLICATIO|I / PER'1IT SPF.INGFIELO 225 NORTH FIFTI-.I STFEET 9PR0.IGiFIELD, OreGchl 314'1'1 ENl3 INEER[.{6 D lvlslol'.IGlcE NO- 126-)153 INSP=CTION LINE, -i26-3'163 h, JO3 ADDEEg: *A9S:9rcR5 HAP NO.' R=CiiPr NO: l?g6(J )7 69 L-7 q/TAX LOT NO./61 5rj3Dlvt5loN, CAg4 cH=c< o..thi=R,t4 AscA (guptl 4t)AruA-\ ,.DD=SS: ,bO \A/FAte-u t aakl ctiY' 37et rt LFrtu? il? c;=-c<ED =OR D=LtNA,.:=NCi=s 2 orL ZrP, I ?q71 Ptcf!= No iiJCR< E9CRIPT|CN, at-.=tttt ?L-U:<5 5l:,= GJE-CUT: =gtD=liTlA _ COi,lt-1=RrCA _ s=COND DR|\€IIJAY ( 9== ;RAFIC ) R=aJl=s APPLICATIoN FOR A -CoN9 DRt'?-=AAy(.T-a.1a) OR A CO'JNTY Atr-ICA1IOI| FOR FACILITY P=R,1IT (C 9A-2O3)IF IN TH= UC,3. o/uk{6 e/<- G/a/r.< c lu-r t= - DAE:DAi= G AP.sLICATION uJoR< ro *. re EQfflED tsY:oiir{=R c*,ir=..'rr=* qA'(oLl CnrJSz2ttclr oli =x=i?-9-'21-?b AeDQ=ae z? 9?4 R Atzrozr zJ.- 05q3 PROCEDIJRE rcR N9PECTICh{ REAUE9T: cALL 126'3162 (=.C@=R ) STAT= YOUR Cti-r D=gtcl{AT=D JO3 NU}13=R, JO3 ADDEsS,Typ= cFNSF=CTlan EAU=STED AID UF{EN YOU u,lLL 3= . ADY rcR N9P=CT|C^I, og^<TRACTORs OR our{=Rs NAr= .A\DPHON= NL[-i3=R- EaU=STS R=CEIV=D 5=rcR= \oo /tr tijllL 3= l-lAD= Ti-{= Sr.;"IE DAy, R=aJ=giS -:l-R. j,o.o AX I.IJILL B= HAD= TI.i= N=XT ui2R<ING DAY EXl9TllJ/; 9lJlLDlNG P=311T NO. ( IF tcA3L=- ) )F 9== g)OC<YOUR CITY D=5IGNA'iED J€xo.,si q q/ 9ID=IUALK ./ DRI\GIIJAY FOR ALL CONCRETE PAVING IUITI..IIN THE STREET RIGHT OF IUAY, TO 3= i-i4.D= .AETER ALL EXCAVATNG r5 c.oi'lPLETE A}\lD Foff1 trJoR< A}.ID 9U3-3A9= I1ATERIAL IS IN PLACE .-CUR3 / AffiOA.J{ APR() .€T=R rc315 AE ER=C1: BUT PRIOR TO POURING C,oNC:TE. FEE9: glDEtlJALKg tlO.OO + *@.15/LF.( X ) OF IIJALK CURB-CUT tlO.OO+*O.15/LF.(X) IIJAL< X TOTAL PEtrlIT TEE, COiIHERICAL DRIV=IUAY5 9HALL HAVE 5' TO A'FLAIRS 3'- @.sT,/*{DARD r ;rlve ca==ruttr EX,{y|NED TH=COI-IPLETED APPL ICAiIOI{ rcR PER.IIT ,,{.ID DO I{ER=BY CERTFY ;}..,iZT ALLn\rc31ATlol.{ I-{ER=ON t9 TRt; Anp CORECT, A\D I FURT;-J=R CERTIFY iI]AT ANY AND ALL II,CR< P==O=1EDSHALL BE DOhIE IN ACCORDA\CE TUITH TH= ORDN:\CES G TI{E CITY d SPRING#IELD, AI.1D TI-I= LAU,,S G TH59TAT5 G cre,Gcli< PERTAINING TO THE Ui?R< DESCQIS=D H=RE IN, AND TI{AT NO OCCUPANCY IUILL a= M /n=G ANY sTPI.-JCTU= UJITi]CJT PEB1 IsSION G THE SUILDING DI\45 ICTT I FURiHER CERTIFT T!{ATAI.ID EI'1PLO'rEES IU-]O ARE IN IUILL BE Us=D ON THIS PROJECT I 9IGNED COIIPLIANCE UITH OR' 1OIO5> DATE ONLY CO}{TRACTOF?5 --' --/ --f coNi=Ac;oR =crsrRATrou *r.oaa, I REAU IRED IN9PECTICI{9