HomeMy WebLinkAboutPermit Sidewalk 1991-7-15
II~
RESIDENTIAL - COMMERCIAL
SIDEWALK I CURBCUT .
. t.PFLI~ATION I PERMIT .
225 NORTH FIFTH STR::ET
SPRINGfiELD, OREGON 'il14,1
ENGINEERING DIVISION
OFrICE NO, 12&-3153
INSPECTlo.--I LINE, 12&-316'il
J09ADDRE55: 11:,30 MJlR-j(t-r- 'ST: sPr;LO, o~, Q7t./77
t.SSES50RS MAf' NO'*/7- 03 - 2-5- 32- TAx LOT NO, '* 1/l.{oO
SU9DiVISION, Lo T 2.. 2... /V 0 tt...T)f J/1-T L.
OU.NE~ (\1\ \ C. ~A'(. L ~ E. LIS L ( !-frio TtZ-f 'L.
ADDRESS, lfo ~O MAA.\Lt.T CITy,<,;Pf:LO,
STAiE, ba..E..'loi0 J:if"91l-J77f'HONENO,72G,,-S'-/7<6
~C=JPi NO:
C':'5H
C;"';EC<
SPRINGFIELD
v
'* \,'
c;.;:Ci<ED FOR DELINQUENCIES L>-
5:i8.4CK ~
CO,-C'"'I:RICA!.. _
*
UJORl< TO S5 PERFORMED BY: O=R --X CONTRt.CTOR
*
CONTRt.CTOR* M/JP-.Y wl-1JT'L Coruc~S-rL REGISTRt.TION NO, 'L/~'l.SR
"-PDRESS /'V. /In-v 20 7 'D~_Yrut-.. /"")/2 "17</"l J
t""-...",c""URE FOR INSPECTION REQUEST.
CALL 12&-31&'il (RECORDER) STAiE TOUR CITT D:SIGNAiED J09 NLJ:19:R, J09 "-PDRESS,TYf': OF
INSPECTION REQU:SiED A'lD uJ!-IEN YOU WILL 6: REt.DY FOR INSPECTlo.--I, CONTRt.CTORS OR Ol:N::RS Nt.M: A'lD
f'>4ONE Nl.""l9:R. REQU:STS REC:IVED 9i:FORE 1,0Cl) "-'1 WILL 9: MAD: TH: SA'1E DAT, REQJ:STS Al'iER 1,0Cl)
AM WILL 9: MADE TH: NEXT UJOR<ING DAT
u.lOFCK DESCRIPTION:
SIDauALK, L CURS 51::>: _
CURS-CUT, RESIDENTIAL -A-
&ECOND DRIVEWAY (5== 'iRA.~lC )
FEQUlRS5 APFLICATIO\l POR A &:C~ DR1V:WAY('T-4.1a)
OR A COolNTT APPLICATION FOR FACILlTT PERMIT (C 'ilS-203)
iF IN r....;;: U.c:.,S,
DAlE 0:= t..,cpL leA TIO~
7/i >:111
D.4iE:
$I::;:~D:
EXISTING 9UILDN~ PER"1IT NO, ( Ii' APFLIC..<.9L: )
'" se- ~~
-=~
YOUR CITY DE5IC:~A:=D J09 NO. 15f
REQUIRED IN5F!:CTIONS
~
SID:WALK / DRIVEWAT
FOR ALL CONCREiE f'AVIN~ WITHIN
TH: STREET RIGf..'T OF Wt.T, TO 9:
M.4.DE k-lER ALL EXCAVATING
15 COHPLEiE "''lD FOR:'1 lliOF<!(
A'lD SU9-9A5E MAiERI.4L 15
IN f'L.4CE
D
:-=ES:
SIDEWALKS
CURe-CUT
~10,0'" . ~"'.15/LF. ( X ) ~o FT
0.= WALK
~10.00 . @.15/L.F, ( X )
TOTAL FERl'1IT FEE: _ ~
/'-1. Sq,
GO:-1MERtCAL DRIVEWAYS 5;"';~LL
HAV2 5' TO e' FLAIRS
~'- 0" 5TA"'-!PARD
~tl 7!r'r't.oR.
7// >1-1'(
:Xf'IRES,
{; '/L..j, '12.
P"'ON:, Cf37- '35<;;>'1
Q/ogZ3
CURS / AF'PROAC'" AF'RON,
Ar-'ER FOR:'1S ARE ERECiED
SUT f'RIOR TO f'OJRINC>
CONCREiE,
WALK x'
/ "'"
I. x' I.
" 1
i ;";,L.'/E CAREFJLLY EXA'''ilNED Tl-!: Co:-1FLETED ~PFLlC:"'iION FOR PER'"ilT, ...~..'-:D PO i-IERESY CERTIFY ii-!AT ~LL
lS:=ORMATION i-4EREON 15 iR.1E AOXD CORR:CT. A~D I FJRTHER CERTIFY 71--1.4T A~"" ,.:..o",Jp t..LL U;O~ PE~~ED
5;";~L BE D~E IN 4CCORPt..'XCE WIn-I i;";E ORDlN.4"JCE5 OF THE CITY 0:= 5PR1Ncr.:IELD, A"ID Ti-4E LAL:J5 OF Tl-!E
5TAiE or OREGON FERT41NtNG TO THE WOR<. DE&cRI6ED HEREN, 4~D THAT NO OCCUP":""JCY WiLL 9: M4DE
.~ 4~""" 5TRJCiURE Wli~OJT FER;'1IS5!~ OF THE BUILDING DIVISION, 1 FURT~ER CERilFl i;"';":"T O~L Y CONTR..lCTOR5
":"'1D EMPLOYEES U)i...lO ~RE IN COMPLIA~CE WITH ORS lOlD:tSo WILL 5: USED ON iHl5 PROJECT.
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D.!..TE
7'/5,91