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HomeMy WebLinkAboutPermit Signage 1999-06-08SIGN PERMIT APPLICATION 225 Fifth Street Springf ield, OR 97 477 SPFlINGFIELD STATE: JOB_llU MBER lnspection Line: 726-3769 Off ice: 726-3759 {4tSITE ADDRESS: ASSESSORS MAP: OWNER: ADDBESS CITY: BUSINESS NAME, FIRI/ ETC TAX LOT: -/il PHONE: 7 )7{ c ztP: 77") DESCRIPTION OF PROPOSED SIGN(Sl: (please check and complete all appropriate informationl - Wall Y fr"."tanding - projecting _ Roof _ Marquee Y Singte Face - Double Face {J-6z, @o ,(,Square Footage: Vertical Dimension of sign or enclosure: _ Billboard _ Other Total Height above Grade: Horizontal Width of sign or enclosure; ectrical lnstallation: _ Yes _ No VALUE yes additional electrical permit is req SIGN: 4'I Dimension Irom Grade to bottom of Sign Enclosure: {al Type (c) Type 2' /^ 3/*'{rrlxE Material Sign is constructed of : List ALL existing signage and attach a photograph of each sign: l,l)o" A TT 656g-{xSq. Ftg. Sq. Ftg. (b) TYPe (dl Type Sq. Ftg Sq. Ftg :f lmz-toz6 o(o z == oo(oIog PHONE:CONTBACTOR/INSTALLER: LADDRESS CITY: CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: CITY BUSINESS LICENSE NUMBER: EXPIRES: EXPIRES: OFFICE USE Land Use: bgfh Quad Area: | Oil uJ e ZIP:)of 6-€-oTI e V' 9l:' L g o f, L oa (D ofoSign Zoning Pt o Sign Permit Fee -fi40, - L.L- Code Section: Approved By: 8,tGb lL)DATE:-&t-o REOUIRED INSPECTIONS: -v Site to be made prior to sign placement Footing prior to placement of concrete Attachment after fasteners are installed/prior to cover Electrical prior to energizing electrical installation r final completion of installation sign Additional Comments andlor Conditions: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City ofSpringfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors andemployees who are in compliance with oRS 701.os5 will be used on this project. I lurther agree the permit card of the sign(s). to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that I is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation DateSignature Amount Received: 42. *Date Paid:Validation Receipt Number: 7 { g=S Received By: /{ I