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HomeMy WebLinkAboutPermit Signage 2009-06-24/It c 'FliJ d 0 225 FIFTH STREET . SPRINGFIELD, OR 97477 t PH:(541)726-3753 o F AX: (541)726-3689 (Q- gr {City Job Site Address: Assessors Map Tax Lot: ty',Phone:228 - 0877 Address: rl FT Business Name, Firm,rtlotle g Description of Proposed Sign(s): (Please check and complete all appropriate information) - Wall Freestanding Projecting Roof -Marquee Single Face l-grl',", kDlli6 Square Footage:("?n lzl Double Face - Total Height above Grade: Billboard ( tJ Material Sign is Constructed of:l-tutu) Vertica1DimensionofSigno.En.lo,ure.-1LHorizontalWidthofSignorEnclosure:23 I Dimension from Grade to Bottom of Sign Enclosure q'Electrical Installation: Y., 5No (If yes additional electrical permit required) a p6 .ilc Value of Sign:Z3oo, rFl / F l.,t lr 0I / H List ALL existing signage and attach a photograph of each sign rtlon€Sq. Ftg. Sq. Ftg. (b) Type(a) Type (c) Type (d) Type- Sq. Sq. Address State: Phone Expires: City:4uar, Construction Contractors Registration N 16 3(70 zio, /74oL'3/26 " OFFICE USE Sign District: Zoning: c0 'il a By signature, I state and agree, that I have carefully examined the completed application and do hereby certifu that all information herein is true and correct, and I further certifu that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certifr that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that prqect address is readable from street, times the card is located at front of the property, and the approved set of plans will remain on the site at all l-z {-o? the # qt\ Date the of Shared Drive(T:)tsuilding Fom/Sign Pemit Application I {2.doc CITY OF SPRINGFIELD, OREGON Owner:?32 -fuar.rcq S"-. Ar. zi, ezt 7z 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ciff of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 1200900000000000733 Date: 0612512009 8:2e:l4AM Job/Journal Number coM2009-00918 Description Plan Review Comm/lnd/Pub tic Amount Due 44.04 Item Total $44.04 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard ES&ASIGNCORP njm 025006 In Person Payment Total: s44.04 -$44"0-T cReceintl Page I of I 612s12009 aFn*ta*Frrl-s 22! Fifth-Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200900000000000773 Date: 0710612009 e:5e:50AM Job/Journal Number coM2009-00918 coM2009-009r 8 coM2009-00918 Description Building Permit + 5% Technology Fee + 12oh State Surcharge Amount Due 67.75 3.39 8.13 Item Total:s79.27 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard EUGENE SIGN AND AWNING IIh 006487 In Person Payment Total: $79.21 - cReceintl Page I of I 7 t612009