HomeMy WebLinkAboutPermit Sidewalk 1993-05-17-r'
ll/io REgIDENTIAL - COYTYI=RCIAL
9IDEIUALK / CURBCUT
APFL ICATIOI.I / PERTIIT
SPrlINGF!ELD
225 NORTH FIFTI{ gTREET
9PRll.lGFlELD, ORECON 9'14'11
El.,l6 lNEERlt 16 D tvr I ror.lotrlcE No.12b+'1>3
lNSFECTtOr.l LINE:'126-3169
JOB ADDRE99:
A99E99OR9 HAP NO.t7 0o)tb TAxLoTNo.loB6D
#t
5'- '
SUBDtvt9lohl:
Oll,NER, ,4rr,?< L, fi.'- //*. t)
ADDRE99'S
9TATE' C_'i I
crTY, s
ztPt I zvzz PrcNE No.7 y y'.si S :>
grDEuALK, __{ cuRB gtDE _ 9ETBACK .-
CURts-CtlT: RE9IDENTI/AIL
-
COHMER|CAL _
9ECOhID DRIVEIUAY ( 3EE TRAFFIC )
REAUIRES APPLlCATlol.l FoR A SEcohlD DRITGUAY(T-4.1a)
oR A cot[.lTY APFt-lcATlON FoR FACtLtTy FEFtllT (C AD-2o3)lF tN Tl.tE U6-8.
DATE OF APPLICATIOI{
RECETpT No, e Sf/Z:
CAgI{
CHECK _{
,/x/
CI.IECKED FOR PELNAUENCIEg
9IGhIED:
DATE:
IIJoFK TO EE FEFFFIIED EY:
CONTRACTOFI ;F p. lr
OUNER
-+-.cotlTRAcToRlo"-l-RE.rsrRATroN No.*'fr'-?5 EXPIRE9, E-tz--,>S
ADDREgS
PrcCEDUFE FOR NE,f=CTION REAUEST,
PI{ONE:
GALL 12b-3169 (RECORDER ) STATE YOrJR CrTy DES|GNATED JOB NTJMBEB JoB ApDREgg,TypE oFlNgPEcTlot'l REaUE9TED At'{D IIHEN Yotl IUILL BE READY FoR lNgpEcTtotl, cc[.lTRAcfoes on ouxens NAr,1E AtDPFIONE NIJIIBER REAUE9T9 RECEI\GD BEFORE IIOO AN UJILL BE HADE THE 9A1E DAY, REAUE9TS lfJTERl.OO
AI.4 UJILL BE HADE THE NEXI II,ORKII.IG DAY
EXIST ll.lc ELIlLDll.l6 PEFH rT No. ( tF
*YOUR CITY IGNATED JOB No. rsf 140G4ngEE tsOOK
REaUIRED INgFEcTlol.l9 gIDEI,UALK / DRIVEIUAY
FOR ALL CONCRETE PAVING IUITHIN
TI{E STREET RIGHT OF U.IAY, TO EE
F1ADE AFTER ALL EXCAVATINC
15 COF1PLETE AID FORI1 uJORK
AID gtJts-BA'sE F1ATERIAL 15
IN PLACE
CU@ / APPROACI{ AFROT.,I,
AFTER FOtrlg ARE ERECTED
tsUT PRIOR TO POURII€
CONCRETE.
FEE9: glDEl,UALKo cuRB-CUT TUALK X,jlO.OO + t@.lb/LF.( X )
oF LUALK 8\
s
tl@.O@+l@.lb/LF.(X)
COI.IFIERICAL DRI\EIUAYS gHALL
HA\G 5'TO A'FLAIRg
3'. AU STAIDARD
TOTAL PEFT1IT FEE'
I HA\€ CARER]LLY EXAI1INED TI{E COF1FLETED APFLICATION FOR FEF''1IT, A}\ID DO HEREAY CERTIFY TI..IAT ALL
INFOSIATIOI.I HEREON 19 TRjE AND CORRECT, AID I RIRTHER CERTIFY TI]AT ANY AID ALL I-IJOFK FEFFOFI'1ED
SI{ALL BE DONE IN ACCOFD aNcE \lll1l.{THE ORDNAI{CES OF THE CITY OF 9PRINCIfIELD,AID THE L,AI1,}5 OF TI{E
51ATE OF OFEGON PERT AlNlN6 TO TI{E [JOR< PEgCRIBED I]EREIN, AND THAT NO OCCV?,ANCY UJILL BE T1ADE
I FURTUER CERTIFY THAT ONLY COI'ITRAC'TORg
T. CF AIY 5lR]CIUFE u\IUCI.II PERI\5$\O\I OF
N COT'IPLIA}'ICE
THE BU\LDIbIC DlVlSloN.TH\g FROJECT.
G,-7^?3AFE
---'-'---\'ts-
A}\D ET1PLOYEE$ujl{o
,r
\ullH oRg:la\oab UJILL BE U9ED ON
DATE
1aa'a1S
11+6 '.IaaoN
ax,1,
)