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,
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,(,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
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PHONE:CONTBACTOR/INSTALLER:
LADDRESS
CITY:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
EXPIRES:
OFFICE USE
Land Use: bgfh Quad Area: | Oil uJ
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Zoning Pt o
Sign Permit Fee -fi40, -
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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:
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