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HomeMy WebLinkAboutPermit Sidewalk 1995-6-15 llfC"...o !.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. " .,