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HomeMy WebLinkAboutPermit Sidewalk 1992-07-30fiBO I<tr,?II'EN I IAL -9IDzuALK / CURBCLIT APPLICATIA{ / FERilIT SPFlINGFTELEl JoE ADDFEe& ? 1<; 1l Z fr't4*A99ESSORS F1AP NO.'TAX LOT NO. *Z-a c)() l%a9UBDlVl9lohl: ouhlER 4) ADDFEee: #, /Zb'7 Cll"f, €, F?FCf= * CI..IECKED FOR DEL NAJ=NCI=9 sa3 tRECEIPT NO, cAe*.{ :E- CHECK 9I6NED: l,AItr,Z 9TArE: C) €"ZlPz DEOCRIPTICI I, UJoFK TO EE FEFFOFI'IED EY: Pr{oNE No.'7+7-8(/7 Y coh{rRAcroR 9IDEIJJALK: V.' CURts gIPE - 9ETBACK -9ECCt'lD DRI\€UJAY ( SEE TRAFFIC ) REaUIRE9 AFFLlCATlofi rcR A gEcoflr) DRI\€IUAY(T-4.1a) OR A CO{JNTY AFPLICATION FOR FACILITY FERi-1IT (C A.8.2O3) lF rN Tl{E U6-8. *74/ LL t tlt&'l CIrNER e F{t ,3<e.REGISTRATIOI.I NO./.> ExFtREg, b3*. o Ac*e.t &ra,-a.rug 1a Pi{ONE: PROCEDUFE FoR lNgFEcTlctl REGLlE9Tr #lU- 12b.3169 (RECORDER ) ETATE YOIJR CITY DE9IGNATED JOB NI,JIIBER, JOts ADDFE9S,TYPE OF lNgFEcTloi'I REAUE9TED AID tl}{EN YOIJ UJILL BE READY FOR lNgPEcTlcr.l, CoNITRACToR9 oR OU'hlERg NAIE AD PrcNE NUMFER. REanlEgTg RECEI\GD BEFoRE 1,oo Nl tUlLL tsE IIADE THE gAlE DAY, REoUESTS lFlER1z@o AH U'ILL BE MADE THE NEXT IIJORKIhIG DAY EXI9TIhIG ELIILDING PEF|IIT NO. ( IF APPLICAtsLE ) *YOTJR CITY ,rED Jots No. ref I z- 1oz1 IgEE BOOK SIDEU]ALK / DRI\GII.JAY rcR ALL CONCRETE PAVING IUITI-]IN TI1E STREET RIGHT OF IUAY, TO 3E I'IADE AFTER ALL EXCAVATING 15 COHPLETE AID FORI1 II,,CF< A!.lD 5UB-tsAgE FIATER|AL l5 IN PLACE x CU@ / AFPROACI.] AFRO,..I, AFTER FOB15 AE =RECTEDtsUT FRIOR TO POURING CONCR=TE. FEE9: SIDEIUALK9 cuRts-cuT ruAL< x' )IO.OA + hO.\5/LF.( X ))1O.OO++O.\>/LF.(X) COI.II1ERICAL DRI\€II,AYS gI]ALL HA.F >'TO A'FLAIRS 3'. O'STA{DARD (OF TUALK Vso,8 2jao TOTA FERI.IIT FEE,zz t nAl€. CAREFULLY EXA"I|NED Tl-'{E COI'IFLETED APPLICATION FoR PEBllT, AID DO I-{EREBY CERTIFY TIIAT ALLlNrc, lATlot'l I{EREON 19 TR'JE AND CORRECT, A\D I FURTI-.I=R C=RTIFy Tt-.lAT ANy AND ALL r!OR< pESOBI=D SHALL BE DOI{E IN ACCORDANCE IUITH TI{E ORDINA\CE' G THE CITY tr SPRINGf,IELD, AID T{-]E LAIJS cF THEgTATE G OREGON FERTAINING TO TI]E I]JORK DESCRISED HER=IN, AND TI-.IAT NO OC:CUPA\CY IUiLL BE IIAD=OF ANY gTRJCTURE IUITI]O:JT PER.1IS5IO}I G THE BUILDINC DIVISIO|\I I FURTI]ER CERTIFY TI-.1AT ONLY CONiRACTORs/.ND EMPLOYEEg ITJI-.IO ARE IN COIIPLIANCE IIJIT+] O* 1O1O>> IU'LL BE USED ON THI9 PROJECT. 7- 3a */ - r-E 7z 225 NORTH FIFTI-{ gTFEET 9FRI|.&3F|ELD, ORE6OI'I 314'11 El.,lGlNEERlhE D lvl I lol.{ ffilcENo.12b-?1>3 IN9PECTIOt'{ LINE:'126 -3169 DATE OF APTLICATICN.{ REAUFED INgPECTIOI.Ig