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HomeMy WebLinkAboutPermit Sidewalk 1994-1-19 ,,~ RESIDENTIAL - COMMlrC1AL . -~ ;~~~~~~ ~~~~T SPRINGFIELD 225 NORTf-I FIFTf-I STREET SPRINGFIELD, OREGON 'il1411 ENGINEERING DIVISION OFFICE NO. 126-3153 INSPECTION LINE, 126-316'i1 JOB ADDRE&e. It j. '1 -fJ/ ~J'l- ASSES!;oRS MAP NO.*' \ 1 _ (''1'1--, - '2-5, '7J'Z-- T AX LOT NO: "* i 4- 'Z..60 SUBDIVISION, - I/O ( ) ~R. ,,~ p (2?Jpe t.DDRESS, Ie,:l r; ~(~(f- STATE, Q-( ZIP, 97'177 RECE IPT NO, \l410 CA5f.I v Cf-IECK CITY, JI')../J F'f.IONE NO. 7J1t - 7,S'G,l- "* ./ Cf.IECKED FOR DELINQUENCIES _ ll..IORl< DE5C~IPTION. S!DEUlALK, 1 CURS-CUT: CU!'9 SIDE RESIDENTIAL _ SETBACK _ Co:1MERICAL _ SECOND DRIVEWA.,.. I SEE TRAFFIC) REQUIRES AF'F'LICATION FOR A SECOND DRIVEWA.,..I"T-4.1a) OR A COUNTY .4F'F'LICATION FOR FACILIT.,.. PERMIT IC 'iIe-2"3) IF IN Tf.IE U.c..s. SIGNED, 12fft1N\ l - \'1. - '14-. DATE OF AF'F'LICATION )-19-9 ~ DATE: WORK TO BE FEFa"u"", ,,::D BY: CONTR.4CTOR"* dtJj~ C! ::/..- P ll, ADD!=C:.S:S Oll.N.ER V CONTRACTOR "* REGISTR.4TION NO. ."i I <+ S<'1i:' EXPIRES: PHONE: r-__....cOURE FOR INet='l:CTION REQUEST. CALL 1;6-316'i1 lRECORPER ) STATE .,..OUR CITY DESIGNATED JOB Nu:-iBER, JOB ADDRESS,TYPE OF INSPECTION REQUESTED A'lD UJ;-lEN ""OU WILL BE READ.,.. FOR INSPECTION. CONTR.4CTORS OR OUNERS N.4ME A'ID Pi-lONE NUMBER. REQUESTS RECEIVED B::rvr= 1,"" .4M WILL BE MADE Tf-I: SA'1E DA.,.., REQ'JESTS -'<'TER 1,00 AM WILL BE MADE Tf-IE NEXT UJOR<ING DA.,.. '" SEE BOOK EXISTING BUILDING PERMIT NO. I IF AF'F'LICABLE ) .,..OUR CITY DESIGNATED JOB NO. Isf C\4-60.sP, REQUIRED INSFl:CTIONS D SIDEWALK I DRIVEWA.,.. FOR ALL CONCRETE PAViNG WITf.lIN Tf.lE STREET RIG;.IT OF WA.,.., TO BE MADE AFTER ALL EXCAVATING IS =MPLETE AND FORM WORK A'lD SUB-BASE MATERIAL IS IN PLACE ~ CU!'9 I AF'F'ROACf.I APRON, I AFTER FORl"1S ARE ERECTED ' BUT PRIOR TO POURING =NCRETE. FEES: SIDEWALKS .10.00 + .0.15/LF. ( X ) OF WALK CURB-CUT .10.00 + ~.15/L.F. ( X ) WALK X' TOTAL Fl:RMIT FEE: s I\~ COMMERICAL DRIVEWA.,..S Sf.lALL ;.lAVE S' TO &' FLAIRS 3'. 0" 5Th"'lDARD / t q,l X' ., "'" J. I f.I"-VE C"-REFULL.,.. EXA'1INED TI-!E COMf"LETED AF'F'L1CATION FOR PERMIT, -"'lD DO ;.IEREB.,.. CERTIF.,.. TI-!"-T -"LL INFORMATION I-!EREON IS TRUE A"D CORRECT, A'ID I FURT;.IER CERTIF.,.. Tf.I"-T "-".,.. -"'lD -"LL WORK PERFORMED Sf.lALL BE DONE IN "-CCORDANCE WITf.I Tf.lE ORDIN"-'lCES OF Tf.lE CIT.,.. OF SPRIN""'IELD. -"ND TI-!E LAWS OF Tf.lE ST"-TE OF OREGON PERTAINING TO Tf.lE WORK DESCRIBED f.lEREIN. h'lD Tf.lAT NO OCCUPA'lC"" WILL BE MhDE OF h""" STR..!CTURE WITf.lOJT PERMISSION OF TI-!E BUILDING DIVISION. I FURTf.lER CERTIFY T;.IAT ONL.,.. CONTRACTORS h'lD EMPLOYEES Wf.IO ARE IN COMPLIANCE WITf.I ORS 1"I_S WILL BE USED ON TI-!IS PROJECT. ?/J""40 (}OJ}P~f_ SI~~b 0 /- /9- f// DATE / . .f ., , . , \ ~ ,,/// ---- . \, . . ~---- ---- .-:> " L I) / ~ I \~ -- . I I , , '