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HomeMy WebLinkAboutPermit Sidewalk 1995-06-15ti/zo 9IDENTIAL COIIIIERCIAL SID=uJ/,LK / cuP€,c/.fi APPL ICATIOII / P=R-IIT SPRINGFTELO 225 NORTH FIFTI-] STEET 9PRll.lcFlELD, OREGa{ 314-1'1 Ehl3 INEERING D IVIS IOI.{ ffilcE NO. 12b-)1>3 INSP=CTION LlNi,'i26 -3-163 ?fi, JOB ADDEg3: A9-a=3*RS rree ruo.*-7 o VZZ 4/t1o, xot.x 16, R=c-rpr No: lTrOo CA*: c+=c< U'5rJ3Dlvt5loN, O.J.NiR,A */ n-Eqq-CITY'c;=c<ED =cR D=r INO.i=\ICI=S z 5TAIE,oR_zt?, a7q'7 7 Pi.{cfi= No iirCR< DE9CRIPTIOi{. Qt-,=tt/t 1- CIJR3-CUI: R=5lD=]lillAl- _ CO:-1i1=RICA!_ _ s=COND DR:\€rLJAY ( 5=- TRlJ+tc ) OR A CO'JNT'( Afr-ICA;ION FOR FACILITY P==,1IT (C AA-2O3)rF lN TFi= U-G3- DAi= G AP,5LICATIO\ c. lr-\ r= a _Eoo /<_?r coN;RAcioR* . A'(O H Y:Oi:,.ER --4-ao^lrRAcro.R R=crsi=^r an No.*4q 1oLl =xPi=5,-7bAeD=ss z? 9?4 B At f.rozf El,=--c\=,4b1- o5 q5 PROCEDURE rcR N9PECTICt.{ REQ{IEST: CA-L 12b.3163 (R=COP=R ) STATE YOUR CIiY D=SIGNAT=D JO3 NLf-13=R, JO3 ADDre.99,TYP= o=NsF=crla{ EaU=STED A{D tl}lEN You lutLl 3= R=ADI FoR tsuspiclcf.l, o<-u^arRAiro=s oR ou}{=Rs NAr= A\DP{-k2.{= Nr,!-'i3=R_ EAU=STg R=CElv=D E=rcE 1.OO /:1 r,|LL 3= tlAD= TH= gAtlE DAy, R=A:l=SiS fJi=? i,oe4}1 IIJILL B= I-1AD= TH= N=XI UJCR<ING DAY EX|STl|+-i 3LillDlNG P=311T NO- ( lF A7?LICABL= ) hio. r5r q</o5 Z-*YOUR CITY D=SIGNATED JO39== BOOK REAUIRED INSPECTICNg 3ID=IUALK / DR!\GIIJAY FOR A]-L CONCRETE PAVING U,IIT}..IIN Tl.]E STREET RIGHT G IIJAY, TO 3=IIAD= ,A=TER AL EXCAVATNG 15 COfi?LEiE AND FOB1 I,]JO=<A\D 5U3.3A5= HATERIAL 19 IN PL.ICE ,-CUB / AffiOACI-{ APR() AET=R rcRTS AE ER!C.- BUT PRIOR TO POJRING CONC:TE. FEE9: SIDE1UALKS CURB-CUT I]JZL< X I\O.OO + *@.15/LF.( X ) OF I]JALK s tlO.OO + *,D.|->/LF.( X ) CO|fIERICAL DRIV=IIJAYS SHALL HAVE 5' TO A'FLAIRS3'. A" 5TA\DARD x' TOTAL PERHIT FEE: I XIVE CAR=F"'LLY EXAYIN=D T+.{= COi-1PL=TED APPLICATiOI.{ rcR PER-IIT, A\D DO HEEBY C=RTIFY;H,4.T ALLlNrcslATlotl HER=oN 19 TR.JE Ah,tD coRR=cr, A\D I FURTH=R cERTtFy rttar ANY AND ALL [OR< PEFO=Y=D9!ALL BE DONE lN /.ccoRDANcE tutrt{ TH= ORDTNANCEi G THE clr.I.G 9PRI\IC,=IELD, A{D TI..I= LAUJS G T}.1trSTATE G OreGON PERTAINING TO THE tuCR< DESCRI3=D H=RE IN, AND TIIAT NO OCCUPANCY IIJ|LL 9= I..1AD=6 ANY sTRJCTU= U'ITi]CJT PERIIsgION G THE BLJILDING D IYIgIC}T I FURiI]=R CERTFT TIAT ONLY CO\TRACTORSAND EIIPLO'IEES UX-{O AE IN COIIPLIANCE IUITH ORg 1O1O5> TUILL BE USED ON THIS PROJECT. 5IGNED DATE F,A te-v t asrl G,'/FlU