HomeMy WebLinkAboutPermit Building 1996-10-01L9/ t)L' Os
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INSPBGTIONS IZE.STCg
Ozbco l-'-I 4AFrp .,5??I:VFLELA aL 7r
on
CITY OF SPRINGFIELD
225 North sth'street '
BUTLDTNG MOVINC PESIi'IrT/BUTLDING DTVISToN
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T/->< L-6( Goo l7a 212 o!2iPa
BUSTNESS 726-5753
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14+5Tb+rpaAJ .8d 0-\ .-Tva51 nv95 Ewa-L AVE . )Et Yna)e &
cssgMovng
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rm tbhq
JOB NI.'IIBER
"245-G1o5
EEFJ MIZ&ouaET Za'EC. tsf.w rtlw)eb tt411o
n In 56 CITY
€tr-Y<ue- FLptt YE6oe*Y-E
Pt o Route
4a t4p Tz) V4Wcot F. -tD A- ut- -a'6d aDT 5e65f
crt ion of Bulldi 4/o'CE,(lq'
;Squara Foota lMovlng Lengttr ' Moving
Numbcr.Of Sectlons Bclng'l"toved a 0f Cons
Width - _ _=--Heiv)arDtructionj3gl.nng-!
ght On Do1lY._,....--
ALUATION
e n8 vrs ion EES, AND CUIRGES: Pri or to fecetv-
will route coples of thls aPP Iicatlon to all Ing a Permi t to novs a building to Pfoperty
apProPr late dlvlsions, dcPart ments and Agen-wlthin the City, the aPPlicant ot his/her
cable.
n8s mov e to n8,
Clty ltmLts shall havc tho Sower capPed at 'owner shall, have all sludge fron the septic
tho propertY llne and lnsPa cted ono worklng tank, seepage Pit or cossPoo 1 removed by a
day prlot to tho movs.It ths 'inspoction Pefs on holding a sewage disPo al service Ii-
lndlcatcc that thc Scwor has not been proP-cense,and shall fill same wi th clean bar-
erly coppcd, tho movlng permlt will be run grave I or other naterial aPProved bY the
revokcd.Director or hls authorized esentative.
I CERTIFY THAT thc above lnformation is true and corlect,that aL1 require d contac have
bccn made and authorl zatlons obtalnod, that the nove wlll begln at orclo
wlll be conp lctcd by 13: @) orclock on
clcg.Ho}rEVER, thc app llcant must contact
ProPe"tY or,rncfi lf troe s ars lnvolved In the
propored movo. IN ADD ITION, the aPPllcant
must spcqro the sPProv al of all aPProPrlatc
munlclp BI; countY and state authorltlcs
ghoutd the movo orlgl nsta or tqrmlnBto out-
gldc tho CltY of SPrl ngfleld.
outhorized rePresefltative must I
1. Submit 2 lopies of site or plot plan
for new site.
2. Submit'2 coples of foundation plan for
the reLocated building.
3, 0btain a permit coverirtg the new founda-
tion, as ilell as all plumbing/nechanical
and electrical work relating to the re-
Iocated building-
4, Pay Systens Developnent Charge tf appfi-
R3
on to/B1nQ -.endend that no changcs ln th o route wlll bo made w:[-thou-t contac ting S
also certlfy that I have been inf,orme cl that NO PERI,IIT WILL BE ISSUED BEFORE 5 I'IORKING DAYS
HAVE ELASPED.I furthor certlfY that my registra tion with the Butld errs Board is in full
forct and effcct as r?qulred bY ORS 701.05S and 701 .070, and that if exernpt the basis is
noted heroon. Basls for Bullder ts Board BxemPtlonl
NAt'lE flta-@LEt*-\SIGNATTJRE
FOR CE USE
Flood PIai n ,T1rye of Construction ancyZona
\Storics \ ttvlngUnits I
Appllcation fee $18.00 --
Pormit fcc $60.00 -;
Fdotage I/ALUE
cct Recoipt Number
ReceiPt
Nunbcr of Blocks ovrir 6 0 .60C
Sewor Cap lb ,'lb +.Ab-- \lE date Paid
o co ePoftnent ama ans rk an
-Paciftc N}{ Boll
-L"n, Trartllt Dlstrict
Amount
ter B
Flrr Dcpgrtmont
-Iorthrcir Gu
creal on
_6roup ll Cable
-Lane b'wzY /. A :
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