HomeMy WebLinkAboutPermit Signage 2009-06-24/It
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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:
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Business Name, Firm,rtlotle
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Description of Proposed Sign(s): (Please check and complete all appropriate information)
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Wall Freestanding Projecting Roof
-Marquee
Single Face l-grl',", kDlli6
Square Footage:("?n lzl
Double Face
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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)
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.ilc Value of Sign:Z3oo,
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List ALL existing signage and attach a photograph of each sign
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(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
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OFFICE USE
Sign District: Zoning:
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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
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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
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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
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cReceintl Page I of I 7 t612009