HomeMy WebLinkAboutPermit Signage 1996-03-26i
SIGN PERMIT APPLICATION
225 Filth Strcet
Springfield. OB 97477
SP'Tt,\lCF!ELl,JOB NUMBER
Zfr,
lnspection Line: 726-3769
Ollice: 725-3759
.72O g
SITE ADDBESS:
ASSESSORS MAP:
OWNER:/4c ///'{1 ru4ff PHoNE: 4ffi 47//
2
crrY: euaw e STATE: A,L-
BUSINESS NAME, FIRIII ETC.:U( ra,r,6us t/*s s P,< ee-
ztP: ?11E1
DESCRIPTION OF.PROPOSED SIGN(Sl: (please check and complete all appropriate inlormationl
- wall A Fr"u.tanding
-
Proiecting
-
Bool
Single Face _ Double Face _ Billboard _ Other
Square Footage:bo{Total Height above Grade:1'41"
Vertical Dimension ol sign or enclosure:b'Horizontal Width orenclosure: lo'
Marquee
Dimension lrom Grade
to bottom ol Sign Enclosure:4o (lf yes additional electrical permit
Electrical lnstallation: _VALUE
OF SIGN:Wrc.(Io
Material Sign is constructed ol:louu NlA
List ALL existing signage and attach a photograph of each slgn:
lal Type Sq. Ftg.
j (cl Tyrre Sq. Fts.
\w\a.-
(bl Type
(dl Type
Sq. Ftg
Sq. Ftg
CONTNACTOR/INSTALLER:A N 9a^te ",,QhL lqw
ADDRESS:7D 4 Jbfft/zsd^/
ClTY:6ta ?
CONSIRUCTION CONTRACTORS REGISTRAT]ON NUMBER:b4b/v
CITY BUSINESS LTCENSE NUMBER:1>osqa
ap, 47 y'o z-
EXPIRES:a/qz
o/qt
OFFICE USE
Sign Di
Zoning:
Sign Permit Fee:
SiteP'' to be made prior
to.sign placement
Land Use:
Code Section:
Approved By:
l-
DATE:
Footing
prior to placement
oI concrete
,/l-/ Attachment
after ,asteners are
installed/prior to cover
Electrical
prior to energizing
electrical installation
(/ Finat
ffiiltion ot sisn
installation
IAddltional Comments andlor Conditions:
!
By signature, I state and agree, that I have carefully examinedis true'and correct, and I lurther certily that any and all workSprin'gtietd, ond the Laws of the State ol Oregon pertaining
employecs who are in compliance with OnS 7Ol.O55 will be
tlre-completed apprication and do hereby certiry that alr inlormation hereinperlormed shart be done in accordance iritt tt e ordinances ot-itre citv ot,to the work described herein.' t rurther certiry.ttat onty-conir"iior, .noused on this proiect.
ensure that all required inspections are requested at the proper time, that project addresslocated at the front ol the property, and the approved set ol plans will remain on the site a
I lulther agree to
the p.ermit card is
of the si0n(sl.
Signaturo
is readable lrom the street, that
t all times during the installation
Dato algLlaG.c, o
Received By:
Validatido:Amount Received:
Receipt Number:
a
Date Paid:
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