HomeMy WebLinkAboutPermit Signage 1994-03-31SIGN PERMIT APPLICATIO SP,lII\.GFIELD
225 Fi{th Street
Sprinsf ield, OR 97 477
JO
'MBER
4qoaz 5
lnspection Line: 726-3769
Office: 726-37592fr,
LLe >\SITE ADDRESS
ASSESSORS MAP:
ADDRESS: "5
o PHONE: 1 -a4
ZIP:
4to
TAX LOT
BUSINESS NAME, FIRTVI EEC 3
DESCRIPTION OF PROPOSED SIGN(Sl: (please check and complete all appropriate information)\/,
-
Wall K fre"standing
-
Projecting _ Roof
f*sinorc Face \{ Double Face
ffiA) roq6=
_ Marquee
Billboard Other
Total Height above Grade:
Horizontal Width of sign or enclosure
ISquare Footage:
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
I
a'Etectrical lnstattation: yes Vro VALUE L.
(lf yes additional electriill permit iffitireO) OF StGN: + VCO ,-
[\Iaterial Sign is constructed of:€L
List ALL existing signage and attach a photograph of each sign
d \I,L
(b) Type
Be Q.€wwleD
(a) Type
(c) Type
wo(Sq. Ftg
Sq. Ftg (d) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/INSTALLER:0 PHoNE: 6B-t -70
ADDRESS
CITY
CONSTRUCTION
CITY BUSINESS LICENSE NUMBER:
RS REGISTRATION NUMBER:
STATE:oE-ZIP:4
EXPIRES:
EXPIRES:
OFFICE USE
Sign
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
_ Site
to be made prior
to sign placement
KI**'"",
of concrete
Land Use:
Code Section
Approved By:
Attachment
after fasteners are
installed/prior to cover
Area
Electrical
prior to energizing
electrical installation
Y,,^n
coffiion of sign
installation
TE:
Additional Comments and/or Conditions
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
is true and correct, and I further certify 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 certify that only contractors and
employees who are in compliance with ORS 701.055 will be used on this proiect.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located at the front the property, and the approved set of plans will remain on the site at all times during the installation
of the sign(s)
Signature Date ?-1*-.1 +
Amount Received: -2 - *Date PaidValidation:?/
OWNER:
'crrv: ' 57t?uA GFI €* \-I> SrArE: O R-.c1,"1 4 7 7
7-+l
c'
1R<t) \ [-t{ eg trrr.
Receipt Number: /</77 Received By: