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HomeMy WebLinkAboutPermit Sidewalk 1995-6-15 IifCI....o ~SIDENTIAL - COMMERCIAL ;~~~~~ ~~T. 225 NO~ FIFTI-lS~ET SPRINGFIELD, OR!:GON 91411 ENGINEERING DIVISION Ofi'ICE NO. 126.3153 INSPECTION UN:, 176-3169 J09 ADDRE55, I '-!Zq M (' P~~k.( -'-S5:550RS M.l.P NO.'" /7 67. 7 7 t:J? _ T t.x LOT NO: Of. /00 5U9DIVISION, O.:N:R; J-l A 5L A =D1'<:55, 300 vJ. 5,A,=, oR- WOR< DE5CRIFTI~, c ,~ 5!~SlJ,t...LK: ----1c::::::.. c.JRS-CUT: (f?7Z-1 fr/-./ .<!,I.! A F€lZ... '> r::;A/~VI '&-AIJ Cln, 13>f'e/~('PIt=dl ZIP, <r1Lf71 P;.ION: NO. CUSS 51D: 5::T8.AC<' _ ~5IDESil.!-L _ CO,-J;-]=RICAL S:COND DRIv:WAY I S:E ,RtJTIC ) 1'<:OUI1'<:S APFLICAOION COR A SECOND DRIV:WA.,-I"T.4J4) OR A COUNTY J..F'PLICATlON COR FACILITY PE~IT IC '38-2"'3) I~ IN n-;: U.c,i.9. DATE OF APPUCAilON b-I >--'15 SPRINCFIELD CASL-; R:C:IPT NO, /7StJlJ Ci-i:C< ~ "* Ci-i:C<:D ~OR DELINQ~:NCI:5 /.. 51G~::::: DA"iE: WO;;;K TO BE FERrv"", It:D BY, O~R ~~"i::<.AC70R * 1'<:(;15,RATI0>-l NO. ':3"-.'" I CON,RAC,OR"*' ~A'10J--l =D1'<:55 2-'1 ~'l~ f$ r /V..i.<;-tt!.vCtl OAl AII"PCJ"--'1' .eel. ~ 150 f? Ie (, -I ~ -fIS'"' :XPIR:5,,?-2..I- '16 P;";O"-E,~rc/. OS~.5 r-7'<V'-t:vURI: FOR IN5FECTl~ REGlUEST, CALL '26':~'6~ (RECORDER) STATE YOUR CITY D:5IG~ED J09 N....C."i:=R. J05 ADDR::5S,rr?: Of INSPECTION R!:auESTED A'jD ur.IEN YOU WILL 9E 1'<:ADY FOR INSP:CTION, CONTRACTORS OR 0i:NE~ NA:-': "8D P~ NUM9ER R:OJ:STS R:CElvED 9=1"OR: 1,= ,;.,.., UJILL !:IE MAD: TI-l: SAJ"IE DAY, REQ~:STS ~TER 1,,*, A.'1 WILL BE MADE T!-;E NEX1 l1.iOR<.lNG DAY "* 5== =~ --~ YOLl~ CITY D::516NAIED J09 NO. 151' EXISTIN;:; 5U1L~~~ ~~IT NO. ( rr APPLICASL= ) REQUIRED INSFECTI~S [IT' SIDEWALK I DRIv:WA Y FOR ALL CONCRETE PAVINc; WiT;":iN TI-lE STREET RIG!-IT OF'WAY, TO 9E. M.L..D:: .L..=iER ALL cXCAYATIN!:I 15 COi"'iPLETE AND FOf<H UX:>~ A'jD SU9-9A5E MATERIAL IS IN PLACE FEES, SIDEWALKS ~10.00 . ~.I:;,/LF. ( X ) 0;= WALK CUR9-CUT H0.00 . ~.I5>/LF. ( X ) D ~ ff co.'1MERICAL DRIv:UJAYS SI-lALL HAvE 5' TO 8' FLAIRS 3'- "'" 5TA'jDARD TOTAL PERt'lIT FEE, I ;"';AVE .CAR=;"'i=uLL Y EXA."'1INED TJ.4~OMPLETED APPLICATiON FOR PERMIT, "':"""D DO I-lEREBY CE!=(:Trr="... 7!-.;.l.T ALL IJ'..5=O~ATION ~EREON IS TR1JE A"-:D CORR:CT. A"D I FuRT;";ER CERTIFY T~AT A'JY ~"D ALL lLORK PE:v-......;""l;.l LcD SHALL 9E DONE IN ACCORDA'jCE WITI-l TI-l: ORDINA'jCES OF TI-lE CITY OF SPRINcr.IELD, AND Tl-': L.AW5 OF T;":E STATE OF OREGO>-l PERTAINING TO TI-lE WORK DE5CRI9:D H:REIN, A'lD TI-lAT NO OCCUPA'jCY WILL 9E Mt-DE OF ~t...:..,.. STF3JCTU~ UI17;~OUT PERMIS51o:--! 0:: TI-lE BUILD!NG DlVl510tt I FUR71-1.!:.R CERTIFY TI-t..iT OOL';" COS7RACiORS AND EMPLOYEES WHO ARE IN COMPLIANCE UJITI-l ORS 1.,1.055 WILL BE U5:D ON TI-lIS PROJECT. 51GNED DATE 9.=:-IO~0 ._ CURS I APPROACI-l APRO A----rER FOR7lS ARE ER:CO' BUT PRIOR TO PO~RIN(; CONCREtE. UJ.4L:<' X' / "" I. x' I. ., .,