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HomeMy WebLinkAboutPermit Curb Cut 1993-04-27ll/ao REgIDENTIAL -COMT1ERCIAL gIDEIUAK / CURBCUT AFPLICATIOT.I / PEFHIT SPRINGF!ELO 225 NORTH FIFTI{ gTREET 9FRIhIGFIELD, OREGON 314'11 Ehl6 tNEERtr.l6 D lvt g toftffitcENo.126-71>3 lNSPECTtot{ LtNE:'126-3163 JOB ADDFE06T ZZ 81 \.t-'A+JAu- A99E99OR9 MAP NO.* I 1 * 7U l'7- rAx Lor No. *tzDb 9JtsDtvt9tot{;la ouflER: ADDRE99T Z Z_g ya 9TATE, O,A . LL CITYr t'l< #21 I zt?z ?z tl z -? PrcNE No. Z 47-zp,r RECEIFT NO: qA ) cA5+{ CHECK * --,' CI]ECKED FOR DELNAUENCIE9 \ 9I6NED; DATE, DEOCRIPIION, tLDFK TO tsE PEFtuFl'1ED EY'ouhlER CCI.ITRACTOR SIDETUALK: cuRts gtDE _ gETBAC,K _ CURts-CuT: )( RE91DENTIAL - Col,lI,iERtCAL _ 9ECOhID DRIVEIUAY ( gEE TRAFFIC ) REotIlREg APPLICAT|OiI FOR A 9ECOND DRt\€rUAy(T-4.1a) OR A COTJNTY AFFLICATION FOR FACILITY PEFHIT (C Ab-2O3)IF IN THE I,J6^8. DATE OF APPLICATIOI'I **REGIgTRATION NO.bv EXFIRE9: PI{ONE: 7 3 PFOCEDURE FOR INSFECTION FE@IIE8T, *YOTJR C DESIGhIATED JOB aALL 126'7163 (RECORDER ) STATE YOUR Ctry DE9TGNATED JOB NTJFIBER, JOB ADDRE99J.rPE OFlNgPECTla{ REaUESTED AlD ll*{EN You tl,lLL ae neapi ron n'rdpecrtcr{, coxTRAcroRg oR ouI.lERg NAl.lE alDPl{oNE NUmBER REauEgrg RECEI\€D BErcRE 1@o N1 tutLL BE FIADE THE gAFlE DArr, REauEgrs AFfiERlzr'l@AI"1 UILL BE HADE THE NEXT IIJORKI}{G DAY ll'lG PERIlIT APPL c5 gEE EOOK rsf XRE@IJIRED INgFEcTlc[.lg gIDEI,UALK / DRI\EIIJAY FOR ALL CONCRETE PAVING TUITI]IN THE STREET RI6T{T OF UJAY, TO BE FIADE AFTER ALL EXCAVATINC 13 COHPLETE AI.ID FORH I]JOFKAID gIJB-BAgE HATERIAL 15 IN PLACE C;URB / APPROACI.I APROI.I: AFTER FOFfi9 ARE ERECIED tsuT PRTOR TO FOURltlG CONCRETE. FEE9: 9IDEUJALKg cuRts-cuT IUALK X' TOTA PEff{lT FEEr rlO.OO + tO.l5/LF.( X ) OF I.UALK i JlO.oO+|O.lb/LF.(X) COIII1ERICAL DRI\€ITJAY9 SIIALL HA\G 5'TO A'FLAIR93'. A'gTAIDARD I I-.IA\€ CAREFULLY EXAT"IINED THE COI"IPLE TED APFLICATION FOR PER'-1IT , AI.ID DO HEREBY CERTIFY THAT ALLINrcRHATICN HEREON IS TRUE AND CORRECT, AD I R]RTI..IER CERTIFY TIAT ANY At.{D ALL UJOE< PERFORIIEDgHALL BE DONE IN ACCORDANCE IIJITH TI]E ORDINANCES OF TI]E CITY oF SPR|NG'F|ELD, AlD Tl-lE LAtl.JS OF Tt-.lESTATE OF ORE6ON FERTAINING TO TI..IE IIJORK DEgCRIBED HERE IN,AND THAT NO OCCUPANCY IUILL BE I"iADE'. OF ANY gTRLICTURE IUITHOIJT PE RI.lIsgION OF THE BUILDINC DIVIS ION, I FURTHER CERTIFY THAT ONLY CONTRACTORS TUILL BE USED Ot.I TI]I5 PROJECT, 4-z AND EI-IPLOYEE9 IU-.IO ARE IN col.lPllA{cE rutTH oR9 1010>> DATE 7 -?7 4 -zt-f_( ,uo, --b-, \/ao -.-ESIDENTIAL -COHI'I'=RCIAL 9IDEI]JAK / CURBCUT APPLICATION / PERilIT SPRINGFIELO 225 NORTI{ FIFTH gTREET 9PRll.!3FlELD, OREGot'{ 3'14'11 El.l6 tNEERtr.,l6 D I vl I I Or.l oFFrcE No. 126-3'193 INSPECT|oN LtNE:'126-3163 efr, JOB ADD*O6: AggEggoRg mae Ho.*'\ oi gr,lBDtvtgtoht: f;'^ sl 209 Otl,lrlER;Edwo,-J gSez L-ntl ADDRE99'1h CITY'C)O9TATE: () r p ZIP,PHOI.IE NO. * C}.IECKED FOR DEL NAUENCIE9 DATE, %RECEIFT NO: cAsr{ _7 cHEcK AF ulcFK oru.lER X cot,|TRACTOR{6 Va. CTJRB-CUTI RE'IDENTIAL - COTfiERIC;:-gECOT{D DRI\GIUAY ( 3EE TRAFFIC )REAUIRE9 AppLtCATtOft foR A gECoND DRr\rErUAy(T_4.1a,) F5frffi"T. Appl rcAT rofi roilaZlllr? pEFr rr c c s; -ioz t 73'1--2?-DATE OF APFLICATIOI.{ cuRts SIDE _9ETBACK grDErrALKr x '.Ca-*RE6I9TRATIOhI NO.?e .'t 2 i EXptREs:/O-l7 PI-{ONE'FrcCEDUFE FOR lNgFEcTtot{REAUEgT *gEE BOOK RE@IJIFED IN9FECTIO}{9 FEE9:SIDEIUALKS D_E9'6NATED JOB Nq1?FE,JO€ ,4pppg.s,,yFE oF 3" t 6 25READY rcR NgPEcTIoN.'icilre.iEioE?R ouNERg NAIIE AI.IDI@@ *l IUILL BE FIADE THE SAfiE EAi,E:UEiIS /fiIER,|ZOO No. ( tu1ab, Le II,IALK X "l SIDEIUALK / DRI\€IUAY m#Eii[?tr*"Fdxli., j,H* IA?F AFrER ALL ExcAvAIG--r5.cof.1PLETE AND roer ulon< fl.lP. +_B-BA^9E |IATER|AL 19IN PLACE c.!F / APFROACT{ AFROr.,l:AFiER FORI's ARE ERECTEDBIJT FRIOR TO POTJRI}.IGCONCRETE. ,lO.O@ + tO.lb/LF.( X ) OF IUALK bot )lO.oO+]O.lb/LF.(X) ffiEfi#,?flHy"'" sHALL 3'- @O 9TAIDARD 1-/ - TOTAL FEtrIIT FEEr t oa DATE 2q I 17- rAx Lor No. x cuRts-cuT I