HomeMy WebLinkAboutPermit Sidewalk 1995-03-06l\,/90
225 NORTH FIFTH gTREET
gPRll.lGFtELD, ORECOhI 3'14-1']
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INSPECTION LINE. 126'316A
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9JBDIVI9ION,
OJNER:
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REgIDENTIAL - COIIIIERCIAL
gIDEIUALK / CURBCUT
APPL ICATIOI.I / PERI,IIT
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s=COND DRI\GIIJAY ( gEE TRAF;IC )
R=AUlEg APPLICATIoN FoR A *coND DRI\€UJAY(T-4.Ia)
OR A COTJNTY APPLICA?ION FOR FACILITY PEftIT (C AA-2O?)
IF IN THE U65.C""-;v'[, 16 9IGNED:
DAE,7DATE G APPLICATICP|{
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CONTRACTO,R l(
or.r.}.,l=R.CONTRACTOR
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4DDE,99 L.PHONE:
PROCEDURE FOR IN9FECTICI.I REAUEST:
,AJI 12b-3'169 (RECOf?DER ) STATE YOUR Ctr:r D=9|GNATED JO3 NLJ-13=B JO3 ADDR=99JypE cFlNSPECTlo{ REGUE9TED A}.lD tlrr{EN You LlJlLL B= READY FoR tNgp=cTtof.l, ioNTRAcToRS oR oru'{=Rg NAx= A\D
PI-,IOhIE NIJT1BER R=AU=sTS RECEI\€D tsEFOF= 1,@O N IUILL BE IIAPE 1l{; SAME DAY, REAUESiS #rER IZOOAH UILL BE I1ADE THE NEXT IJ.T2R<ING DAY
EX|9Tll'fs zuILDING P=. -1lT No. ( lF APPLICA3LE .)c
*YOUR CITY D=5IGNA;ED JO3 )E
No. t5l'a=E a'*
REaUIRED INgPEcTlot lS SIDEIUALK / DRI\EIIJAYrcR ALL CONCRETE PAVING IUITHIN
TI{E STREET RIGI{T oF IIJAY, TO 3=rAD= A=TER ALL EXCAV,4TIN6
15 COi-1PLETE AND FOB1 IIJOR<
AND 5U3-3A9= HATERIAL 15
IN PLACE
CUre / AffiOACH APRO?!
AFTER rcF15 ARE ERECTE
BUT PRIOR TO POURNG
CONCRETE.
FEE9: glDEtlJALKg cuRB-cuT I]JAL< Xrlo.Oo + IO.15/LF.( X )
OF IIJALK
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COI-II-1ERICAL DRIVEIUAYS SHALL
HAVE 5'TO A'FLAIRg3'. @" 5TA\DARDTOTA PEff1IT FEE:
I i]A\G CAREFULLY EXAYINED THE COI-IFLETED APPLICAT|ON FOR PER.IIT, AND DO I]ER=BY CERTIFY THAT ALLNrcSlArlctl l-'lEREoN 19 TRIE A\iD coRR=cr, AND I FuRT|.ER cERTtFy rttzr AI.(Y AND ALL I!OR< PEFORiIED9i]ALL BE DONE IN ACCORDANCE IUITI] THE ORDINANCES C THE CITY oF gPRING'FIELD, AI.ID THE LAU.I5 G TI-.{EgTATE oF OREGON PERTAINING TO TI]E tl,IORK DESC,RISED H=RE IN, AND TI..IAT NO OCCUPANCY IUILL BE I1ADEoF ANY STRL,ICTURE uJlTHoUT PERiltSgtoN G THE tsUILDrNG D IVIgIo.*{" I FUFETHER CERTIFY THAT ONL\'CONTR,ACTOR9AID EHPLOYEE9 IU-.IO ARE IN COHPLIANCE IUITH ORg 1OIO55 IUILL tsE U5=D Ot.{ THIS PROJECT.
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