HomeMy WebLinkAboutPermit Sidewalk 1995-04-27REgIDENTIAL - COYIYIERCIAL
SIDEUJALK / CURBCUT
APPLICATIOI.I / PERI'1IT
SPFlINGFIELD
225 NORTH FIFTI.{ STREET
gPRlr.{GF |ELD, oRECohl 314'11
E}{G INEERING D IVI9IOhIffilcE NO. 126-31>3
IN9PECTION LINE, 126 -71ba %,
JoB ADDRE99'v€G<Vor,a.u ab RECEIPT NO;
C4€,l
17 I
AggEgs,clqg nae No.*-o Z_ rex lor No.*
SUBDIVI9ION,CHECK
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ADDE99,* ---CI.{ECKED FOR D=LINAJ=NCI=g /
CT E.:tp,Pi-]CN= No
i!OR< DE9CRIPTICN,
9I?EIUAI-K:e=- A-7
CURS-CUT:=StDEriilAl_ _coYi'lERtcAL _
g=COND DRI\GUJAY ( gEE TRAFFIC )
=aUlR=9 APPLICATIoN FoR A 9=coND DRI\€UAY(T-4-1a)
OR A COI)NTY 4PPLICATIO?.{ FOR FACILITY P=R.1IT (C AA.2O3)
IF IN THE UG3.lrr ala-xl=--
DAT-_ G APPLICATION
u.i2R< 10 0E F.Y.o:r^{=R CONTRACTOR
+
CON'|RACT =GISTR.ATION NO.EXPiR=s, (r-Z?'*
ADDE59 P|iON='
PROCEDURE rcR IN9T=ECTIOI.I REQUEST:
CA-L 126.3'169 (reCO@ER ) STATE YOUR CITY D=9IGNATED JO3 NLJI-13=R, JO3 ADDR=gg,TYP= GIN9PECTIOhI REAUEgTED AI.ID U,IFIEN YOU IIJILL B= R=ADY FOR INSP=CTIC>,..I. C,C)NTRACTORg OR OI..I,l.{=Rg NAX= A{DPHo\lE NLtr13ER R=aU=9Tg R=cEl\6D B=FoF= 1;o@ /J-r t lLL BE FIADE Tl{E 5A1E DAY, REaU=STS 4FTER 1,ooA1 IUILL tsE I1ADE THE hl=XT IUCR<NG DAY
q5C ZZLEX]STll'{.g BUILDING P=.qllT No. ( lF Aq?LICA3L= )
*YOtR CITY D=9IGNATED JO3 NO. I5TgEE BAOK
gID=UJALK / DRI\GU,,AYrcR ALL CONCRETE PAVING IUITHIN
TH= gTR=ET RICHT G IUAY, TO 3E
IIIAD= ,STER ALL EXCAVATIN6
15 COi'IPLETE AND FORfI II}CR<o*o ur=-=A5= r.1/TER|AL t5
IN PLACE
/ A?trOACI{ APRON
AFTER FOB15 ARE ERECTE
BUT PRIOR TO POURING
CONCR=TE.
FEE9' gIDEIUALKS
rlO.OO + *O.15/LF.( X )
oF UjALK /3.6o
CURB-CI]T
*1O.OO + tO.l5/LF.( X )
I]JAL< X,
$o
COiII-IERICAL DRI\€LUAY9 SHALL
HAVE 5'TO 8'FLAIRS
3,- O'gTA\DARDToTAL FEfllT FEE'
I ;{A\G CAREFULLY EXAYINED T}..I= CO,|.IPLETED APPLICATiON FOR PEBIIT, AND DO HER=BY CERTIFY'|HAT ALLINTS1ATION I-{EREON 15 TR.]E A\D CORR=CT , A\D I FU,RTI:=.R CERTIFY TI-{AT A\Y A\D ALL I!OR<PESOSIEDgXALL BE DONE IN ACCORDANCE IUITI{ T+]E ORDINA\CE9 C TI-{E CITY G SPRING,FIELD , AID Ti.{E LAI.I.I5 G TI]ESTATE OF OREGON PERTAINING TO THE TUORK DESCRI9ED H=REIN, AND TI]AT NO OCCUPANCY TUILL BE I-1ADEG ANY STRTICTURE uJlTl-.loJT pEBll 99IOt{ G THE BUILDING DIVISIOI.I I FURTI{ER CERTIFY ;I.{AT ONLY CONTRACTORS
OR.9 1O1O>5 TUILL BE UgED ON THIS PROJECT
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EI'1PLOYEEg UJ+{O IN COI,IPLIANCE IUIT}{
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CITY'
FEAU IRED IN9PECTIOI{9