HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
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!.r=SIDENT~I~~K I ~~MME~CIAL
APPLICATION I PE~IT_>
22S NORT1-I FIFTH STR:ET
SPRINGFIELD. OR:GON S1411
ENGINEERING DIVISION
o:TlCE NO. 126-31S3
INSPECTION LINE. 126-316'3
Joe ADDRE55. /~(Pl /JJcf);.&.d~
-'-SSES50R5MAPNO'* /7tJ~'t.7~Z. T4XLOTNO:* /00
SUSDIVISION.
SPRINGFIELD
R:CEIPT NO. / TJO 6
CA5J.i
CHEC< ~
O.:NER. 1-1 A 5C- A
ADDRESS. 300 vJ.
STATE. 6R-
ilJOR< DESCRIPTION,
S!::>~K. ~
CURS-CUT:
(&2.-1 /J-.t-I ~j.J A F=t::l2.... ')
r::::Ale-\l/~ CITY. 13Pe./~("F/f'L.JJ
ZIP. <f1~7 7 PHONE NO.
.J'
Ci-!::CKED FOR D:LINO:J:NC1::;S" .!:
CUS:S S!D::
S:T3ACK
~SID::)";71~ _
CO,.....,=RICAL
SECOND DRIVEllIAY (SEE TR.o'JTIC )
R:OUIRES APPLlCATlo.-:;'OR A 5EC= DRIVEl!JA":'("'-~.I.)
OR A COUNTY j..PPLlCATlON i'OR FACILITY PE~IT (C SB-203)
IF IN TH: U.G.5.
DAT: OF APPLlCATlo.-: ..h.=/ S--?~
.51G:~:;:
DA ;:::
UJORK TO BE FERf'u"" Il::D BY:
~~TRAC'iOR
*
REGISTRATION NO. """'-, 1
O~R.
CONTRACTOR* .qrrA'1'04
A:::>DRESS 2.'15'141$
r /\~<:''11!..vC:t1 0)./
A/PPo,,-'1' eel.
ISo i? Ie.
(p -/$"" -9'S""
:XPIRES.'3>-z! - 96
PH=:'~fcl- OS~:S
,"""''-c.....UR!: FOR IN5FECTION REQUEST:
CALL '26-3'69 (RS:COR'!:>5:R) STATE YOJR CITY D=5IG~ED JOS N'..J:'""iS:R. J09 APDR:55.1,:--: 0:=
INSPECTION REau:STED A'lD IJh.lEN YOU WILL 9: READY FOR INSPECTlo.-:, CONTRACTORS OR OCN::R5 NA."'1E A'lD
PHON: NUl'1S:R. R:O'JESTS RECEIVED 9="v= 1,00 t.."1 WILL 9E MADE T,,: SAI'1E DAY. R:O:J:STS '<"=TER 1,00
.0.."1 WILL BE MAD: T!-E NEXT lU::>R<ING DAY
TOTAL PERMIT FEE:
I" /
I ~.c.V2 ,CA~~LL y EXA'"1INED TJ-!E COMPLETED APPLICATION FOR F'E~IT. A.o...JD DO J-fEREey CE~jrrl 7~.l.T ALL
1}.5=O~ATlON I-lER:ON 15 TRUE A"UJ CORRECT, A"lD I RJRTf-i:R CERTIFY' TI-lAT A~y ~~D ~L WOR< PE~v~ IcD
5J.iALL BE DONE IN .l.CCORDA'lCE WITH THE ORDIN-'-'lCES 0;: THE CITY 0;: SPRINGFIELD, AND W: LAC.!S OF THE
STATE OF OREGON P"RTAINING TO THE' WORK DESCRI9ED ....:eREIN. -'-'lD T"AT NO OCOJPANCY WILL 9E M-'-D:
OF ~~Y STAJCTU~ WIT;..lOJT PEJ=<:'1IS5ION OF THE BUILD!NC, DIVISIOtt I RJRI~=R CERTIFY 71-t.lj ~L"'( Co-.'TRACTO!=C!:5
.<.ND EMPLOYEES UJ;.IO ARE IN COMPLIA'lCE WITH ORS 10l.o:.S WILL BE US"D ON THIS PROJECT.
EXISTING 9L!ILDING P;:~IT NO. (' rF APPLICABLE)
'* c.C': BOOK' .
v__ .
YOU~ CITY D=:5IGNATED J03 NO. ,sf
?.c;/Oh?
Rl:GlUIRED INSPECTIONS
[EJ
SIDEWALK I DRIVEWAY
FOR ALL CONCRET: PAVING WIT"IN
THE STREET RIGHT 0;: WAY. TO 9:
Mt.D= t.FiER AlL EXCAYATr.-G
15 COi'"'iPLETE .AND ro~ Uk:)R<,
A~D 5U9-9A5: M.t..TERIAL IS
IN PLACE
D
FEES:
SIDEWALKS
tl@.0@ . to.15/LF. ( X )
or WALK
CURB-CUT
t10.0@ . S0.15/LF. ( X )
s
If
COMMERICAL DRIVEWAYS S"ALL
HAVE S' TO 8' FLAIR5
3'- O. STA'lDARD
SIGNED
DATE
._ CURS I APPROACH APRo.
A-"""TER FO~S ARE ER:Ci:
BUT PRIOR TO pO:JRING
CONCR:TE.
WALK x'
/ ""
t x' I.
" .,