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Home My WebLink AboutPermit Sidewalk 1995-6-15 Il~O ~5IDENTIAL- COMM~RCIAL . SID!;:UJALK I CURBCUT . / AFPL ICA TION I PER"1/T j 22S NOR~ FIFTI-l S~!;:T SPRINGfiELD. OR!:GON '31411 ENGINEERING DIV1SION OM'ICE NO. 116-31S3 INSP:CTION L1N:, 116-316'3 JOB ADDR:=55, 1441 Mr .pJ..f~J-t -'-S5:S50RS MAP NO.'" )76'3 '2.1 ~ '+, TAX LOT NO. . 100 R:C:IPT NO, /7'1."0 CAse; 5U3DIVISION, CH::C<' O.:N:R, 1-1 A SC A "-DDR:55, ~ \/J. S,Ar:, 6rL u.JOR< DE5CRIPTION, S!:>:u=<.. ~ ( [72../ JJ.J../ .<;W A 1"i:!Z.- ') '::;AIe....VItf?AtJ ClOY, GPe'I4('F"I/~d) ZIP, <f7~7 7 Pi-lON:; NO. *' C;";:::C<ED FOR D:::L1NQ:J:NCi:::5 L CUSS S!:>: 5:BACK _ CJRS-c:..'T: ~5rDa-.;iIAL _ CO,...."....,=RrCA.L. S:COND DRIv:WAY I 5:E ,RAiTIC ) R:aJlR:S AFPLlCATlo.-J i'OR A SECOND DRIV:WA,I.,.-4.1o) OR A COUNn- APP'~ICATlo.-J i'OR F.t.CILlTY PE~IT IC '38-203) I~ IN ~E UG.9. . 51C::~::;: D.t.r: ~ .t.P."'LIC.t.T1o.-J (p It sj'fs . PAi"':: UJClRl<. TO BE FEF<rv"", I!::D BY, ~:--:i'"RACiOR +. R:C,15,RATICN NO. ~'2,7 I O~R Co.-J,RAC,OR"* ~A""OJ..J A:>DR:5S 2..9 5?q IS r /');..1I!;,-ttwL.1't OIJ AI F"PCJIi'f .eel. ~ Jf 15o/:J Ie. '" _ /.~ _r :XPIR:S,q;,-U- 96 p;..;o":,~r.,I- OS ~ .-~c;....URE FOR INsPECTION REQUEST, CALL 116-316'3 IR:CORD:R) STAT: YO.JR Cln- D:SIC,~T:D J03 N'..M3:R. J09 ADDR:55.T'rP: ~ INSPECTION R!:aJ:5T:D A'lD ll!-I:~ YOU WILL 9E R!:A:>Y FOR INSPECTlo.-J. COt-.'TRAC,ORS OR O.:N:R5 NA'"!: A'lD Pi-lo.'€ NU113:R. R:QJ:S,S RECEIV:!:l 5=FORE 1,= ..<..'1 WILL 9: MAD: TI-l: SAM: DAY. R!:QJ:S,S "-i"T:R 1,1Z>1Z> A'1 WILL 5: MADE TI-l: NEXT lL\::lR<::ING DAY EXISTING SU1LDIN~ p:~IT NO. ( rr= AFPLlCA6LE ) P51 6~5 S TOT AL PE~IT FEE, . I' / I ;,4,t;,,\IE .CAR:::""'"AJLL..,... EXA~INED TJ.JE COMPLETED APPLICATiON FOR PE~IT. ':"'''D DO t-IEREB"t" CE~Tlr"t" 71-1.1..T ALL INFOR:'1ATION I-l:REON IS TRU: A'ID CORRECT. A"ID I RiRTr<:R CERTIFY TI-l.t.T A'lY A'lD ALL u.oR< P:~O~D SI-lALL BE DONE IN ACCORDA'lCE WIT~ T~E ORDIN-'-'lCES Of' T~E Cln- Of' SPRINc;!'IELD. AND TI-l: LACJ5 ~ T~E STAT: Of' OR!:C,ON PERTAINING TO T~E WOR< D:5CRI9:D 1-l:R!:IN. A'lD T~.t.T NO OCCUPA'lCY WILL 9E M-'-~= OF jC..S"t" 5TRJCTU~ utrn-lOUT PE~155rON OF Tt-IE euILD!NG OlVI51Ott I FUR71-l!:.R CERTIFY 71-1~T ONL"'" COS7RACTO~5 AND :MPLOYE:S WI-lO ARE IN COMPLlA'lC: wlm ORS 101.o5>S WILL BE US:D ON TI-lIS PROJECT. * S:: Bi:>OK .,...ou~ CITY D:::5IGNAi'ED JOS NO. ,sf Rl:QUIRl:D INSPECTIONS [J SIDEWALK I DRlv:WAY FOR ALL co.-lCRET: PAVING WITI-lIN Tl-lE STREET RIG4T OF-WAY, TO 5E M.L.D: .t.FiER ALL EXCAVATING 15 COi'""iPLETE AND FORM 1.1.JC)R<, A'lD SU9-3AS: MAT:RIAL 15 IN PL..!.CE D FEES, SIDEWALKS CURB-CUT .10.00 .. Y.2?.I5/lF. ( X ) .10.00 .. Y.2?.I5/LF. ( X ) 0;= WALK t?I C011M:RICAL DRIv:WAYS SI-lALL HAv: S' TO 8' FLAIRS 3'- 0" STA'l!:lARD SI6N:D DAT: ._ CURS I APPRO.t.C1-l APRO A-I"ER FO~5 ARE ER:CT: BUT PRIOR TO POJRINC, CONCRETE. W.t.L< x' / '" t x' I. ., '.