HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
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~SIDENTIAL - COMMERCIAL
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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.
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WOR< DE5CRIFTI~,
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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.
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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.
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