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HomeMy WebLinkAboutPermit Sidewalk 1995-06-15RE3IDENTIAL -RCIAL SIDEIUAI-K / CUR3CUT APPLICATIO?{ / PEBIIT SPRINGFI€Lct 225 NORTH FIFTH STEET 9PRlr{cftELD, OreGGl 9'1411 =NGINEERII.{G D lvlslot l GlcE NO. 126-)151 INSP=CTION LlNi: 12b - 3163 h, JO3 /DDE99, A59=59,OR9 riAP NO.TAX LOT NO. REC=rPr No. /7 606 cA','-- Cil=-c<. 4 I O.INER't A rDE1:', fuo W, FAt I Z N ctiY *tLFrtu? * ci4=c<iD FoR D=L tNoi=NCi=S ! otL ZlP.7./11 PircN= No. i.i/OR< ESCRIFTICI{, Slr=J)li<, -Jz'-r tDa e,-=a=- /,-? cuE-cui: F?3StD=)iTtAl- _ co;-1i-ERtcAL _ s=COND DRiV=UAY ( 3==;RAFIC ) =aijl=S APPLICATIOf.I FoR A SEcoN9 DRI\€l!Ay(T-z.la) O,Q A CO.JNTY Afr-lcA?lot.l FOR FACIL|Ty p=R-ilT (C AA_2o)) IF IN TFi= UG3.6"e /C-9lc5i=r, DAi-=,6-r tDA1=- G AP.CLICATION b- /€4{ coN;RAcio=i( 4A'(OL| fa * =GrsrRATtoN No. 411 I =x?i==s,?-u -?b CONT=ACTOR atl AeD=ss Z? 9?4 R At f 2/.?;c\=,4b1- o5 43 PROCEDUE rcR N9FECTICt.I REOT.IEgT: CA)-L 126.3]69 (ECOPER ) STATE YOUR CITY D=9IGNAT=D JO3 Ni.'-,i==R, JO3 ADDE99,TYP= <xN9FECTION reAU=STED A{D UI'{EN YOIJ U,,ILL 3= =A'Y rcR N9P=CTIOI.I, C-SN<TRACTcIR9 OR OI,:}{=R9 NAII= ,/^\D PHON= Nt[''i3ER. EaU=STg R=CEl\€D 3rc8 1,oo,ltnr lrlLL 3= HAD= Ti{= 94J-fE DAY, EAJ=975 /FIER. 1:o.eA:i IUILL B= T'1AD= TH= hI=XT II.I2R<ING DAY EXlSTl].1.s SUILDING FE31|T No. ( lF A-LICAaL= ) *CITY li:Jo3 No- rsl'9.= *O< FEAUIRED IN9FECTICT.{g SID=IUALK / DRI\6I'AYrcR ALL CONCETE PAVING IIJIii..lIN THE sTR=ET RIGI{T G tUAY, TO 3= IIAD= A=IER ALL EXCAVATNG ts @fi?LElE AID FO31 UJOR< A\D 5U3.3A^* HA'i'ERIAL 19 IN PLACE ,.CU€ / AffiOACH APRO ,€T=R rc319 AE ER=C'j: BUT PRIOR TO POURING CONCR=TE. FEE9: 9IDEIUALKS IIO.OO + *O.15/LF.( X ) OF UJALK CURB-CUT llO.OO + *.O.|)/LF.( X ) IIJAL< X, TOTAL FEffIIT FEE,$ COi-1I1ERICAL DRIV=IUAYs SHALL HAVE 5'TO A'FLAIRS 3'. @" gTADARD I ;.{I\C CARER,ILLY EXA'1INED THE COi-1PL=TED APPLICATiON rcR PER-IIT, A\D DO HER=BY CERTIFY :}iZT ALLIhFOSIATIAN HER=ON 19 TR.JE Ar,lD CoRECT, A\D I FURTH=R CERT|Fy Tl-1,/rT ANy Ar.lD ALL UiOR<P==O3iED9i{ALL BE DONE tN ACC(2RDANCE IUITH TH= ORDNA\]CE, G THE CITY OF SPRI\ICTIELD, AND 11-r= 1Au.t5 oF THESTATE 6 OREGON PERTAINING TO TI{E UJCR< DESCEIS=D I-FR=:IN, A\D TI..I4T NO OCCUPANCY IIJILL 9= I.1I.D=G ANY STEJCTUR= U,IIT|.{CJT PEK1I95IO?{ tr TI.{E BUILDING D IYISIC}T I FURiHER CERTIFT TI.]AT oNLY co\-TRAcToRgAh{D EI1PLOYEES IIJ+-IO ARE IN COHPLIANCE IUITH OR5 IOIO>> IUILL BE USED ON TT{I5 PROJECT SIGNED DATE l'7 b, ?.Lll 3l3Dtvt5loN, LIJOR( TO BE FEFOBIED BY: oi.rl.l=R /\/\