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HomeMy WebLinkAboutPermit Curb Cut 1992-8-21 22" NORTH FIFTI4 !>Tl<EET . !>f'RIIoIGFIELD. OREc.oN ':>1411 ENGINEERING DIYI!>ION OFfiCE NO, 126-31,,3 IN!>PECTION LINE, 126-316':> 4 ~~I~j;:;I"l1 ,.....1- - '-'VI II !>IDEWALK I CUReCUT AF'PLICATloN I PE~IT SPRINCFIELD II""" JOB ADDI"E5&, /5'/0 /J1A12-kET A!>!>E!>!>OR!\ MAP NO,* (7 - 0:3 .-"25 - '3 '3 &lBDIYI!>ION, Ij;:;~'-'I""'I- . -' TAX LOT NO."* 2. 7/00 RECEIPT NO, CJo<;;o<r3 CA!>I-l CI-IECK ......-- OUNERo Ct7Y ADDRE!>!>, 2.2. 5 !>TATE, o;2e, Or 7/J~//J0FfELD '5"171 sr, CITYS;>k!./;U0F/Et.D ZIP, f 74177 PI-lONE NO, *' CI-lECKED FOR DELINQJENCIE!> .:::::::: !>IDEUJAl.K. CURB !>IDE _ CURB-CUT, v-- RE!>IDENTIAL _ !lECONP DRIYEWAY (!!>EE TRAFFIC) REQUIRE!!> APPLICATION FOR A !lECONI:> DRIYEWAn.,.-4.1a) OR A COUNTY APPLICATION FOR FACILITY PEf<MIT (C ':>8-203) IF IN TI-lC U6B. WORK DESCRIPTION. DATE OF APA..ICATION cP -/2 -"'(2- WOIO!K TO BE F'E1O!Fv..... u::.D BY. CONTRACTOR * ~,e '( A, .5411711 ADDRE!>!> t:? ~ )/, t:? 77f '3 T. !!>ETBACK _ COMMERICAL. ~ !>ICONED, DATE, ~~ C,-/;t!'-92. .---- OUNER CONTRACTOR REGI&TRA TION NO.* 5' ( 48'23 5/~/AJ~FI€UJ 97477 EXPIRE!!>, ~//7Z. P..1ONE, 747-8'34-3 / r""",,-,,,,,,,;JFiS FOR IN&R:CTION REGlUEST. CALL 126-316':> (RECORDER) !!>TATE YOUR CITY DE!!>IGNATED JOB NUMBER. JOB ADDRE!!>!>.T'1'PE OF IN!!>PECTlON REGlUE!!>TED AND Il.I-IEN YOU WILL BE READY FOR IN!!>PECTION. CONTRACTOR!!> OR OUNER!!> NAME A"<D PI-IONE NUMBER. REGlUE!!>T!!> RECEIYED B"r~N: 1,00 AM WILL BE MADE TI-IE !!>AME DAY. REQJE!!>T!!> .oFTER 1,00 AM WILL BE MADE TI-IE NEXT UJOf'ilCING DAY .-- *' !lEE BOOK EXI!!>TING 6UILDING PEf<MIT NO, ( IF AF'PLICA6LE ) YOUR CITY DE!!>IGNATED JOB NO, ,!!>f '7 2. 0 2:S 34- &IDEWALK I DRIYEWAY J}1tfAlo/CA-f' ft~.REl v APPROACI-I APRON, FOR ALL CONCRETE PAYINc;, WITI-IIN AFTER FOf<M!!> ARE ERECTED Tl-lE !!>TREET RIc;,I-IT OF WAY. TO BE 6UT PRIOR TO POURING MADE AFTER ALL EXCAYATING CONCRETE, I!!> COMPLETE AND FORM UJOf'ilC AND &lB-BA!!>E MATERIAL I!> IN PLACE REQUIRED IN&R:CTIONS D ~Aq;S:::: jfJftVtJ/~ ,eMf? ~ .10.00 + .0.15/LF, ( X) ID" .10.00 + ~.I5ILF. ( X ) OF WALK FEES. TOTAL FEF<MIT FEE. ~ /1. 5'0 COMMERICAL DRIYEWAY!> 51-1ALL I-IAYE ,,' TO e' FLAIR!> 3'.0" !>TA'IDARD WALK x' / "" I, x' I, " " I :-IAYE CAREFULLY ExA'1INED TI-IE COMPLETED AF'PLICATION FOR PE~IT. A'ID DO I-IEREBY CERTIFT TI-IAT ALL INFOf<MATION I-IEREON I!!> TRUE A'lD CORRECT. A'lD I FURTI-IER CERTIFY TI-IAT A'IT A'ID ALL lOC)RI( PE,.,.~", ,,,D &HALL BE DONE IN t~~~~A!'oICE Wlil-l TI-IE ORDIN"-'1CE5 OF TI-IE CITY OF 5PRINc;FIELD. AND TI-IE LAl!J5 OF TI-IE STATE OF OREGON PERTAINING TO TI-IE UJOf'ilC DESCRIBED I-IEREIN. -'ND TI-IAT NO OCCUPA"<CT WILL BE M"-DE OF "-NT &TRJCTURE WITI-IOJT PE~I&&ION OF TI-IE 6UILDING DIVI51ON. I FURTI-IER CERTIFT TI-IAT ONLT CONTRACTOR!!> "''1~PLOTEE5 Wl-IO COM ANCE WITI-I OR!!> 101~" WILL BE U5ED ON TI-I15 PROJECT, /. fr-I'--1"- &~~ . DATE