HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
225 NORm FIFTI-I 5TREET
5PRINGFIELD, o.REGON '31411
ENGINEERING DIVI510N
OFrICE NO. 126-3153
1N5PECTlON LINE, 126-316'3
.r=SIDENTIAL - COMMERCIAL
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SPRINCFIELD
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JOB ADDRESS, ILl5t3 MDPt~coL-l
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5U3DIVI510N,
RECEIPT NO, /786"
CAOJ-;
Cl-IEC< ~
GONER, /-l A 5C II
ADDRE5S, 300 vJ .
5TATE, 6 R-
lUOR<: DE5CRIFTION,
5!0EllJ.t.LK. ~
(f712-I/J-/-'/ -,,?M A 1"€1Z..':J
':::AIE:-V/tfVJJ CITY, 6Pe/~t-Fled?
ZIP, "f7Lf77 P;.IONE NO..
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CI-IEC<ED POR DELlNOJENCIE5 t
CUSS 5!OE _
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CUR9-c:.rT: ~SID~il,!..L _ co. C ERICAL
S::COND DRlYE1.l1.t..,... (SEE iR.4iTIC )
REQUlRE5 APPLICAT!~ f'OR A SECOND DRIVEWAY('T-4.1a)
0.1'1 A COUNTY ,l,PPLICATI~ FOR F,L.CILlTY PE~IT (C '38-203)
1;= IN Tl-;E UG.5.
DATE O? APPLICATI~
/p....t5'-9>:
SIC:::l'E:::;':
;:50 f? Ie..
(", - f c;- -9')
::;:>t..7E:
UJORK TO BE FERrur<:l Il::D BY,
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C~TR,L.CTo.R' ~A--rOJ...l
O:.lN:R
~NR.AC70R
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REGI5TRATION NO.' \3","" I
EXPIRE5,?-U - 96
PI-IOSE,q"l_ OS ~
~!:)R::55
2.. ~ '$'1 ij ,;
r'/JIJ.<7P..vC;1f oIJ
A I F'Po~f eel.
""""''-l::vURl: FOR INe.F!:CTION REQ.JEST,
CALL 126-316'3 (RECORDER) 5TATE YOUR CITY DE5IG~TED .JOE; Nu:-13ER. J03 ADDRE55," PE OP
IN5PECTION REQUE5TED A~D Ilh-IEN YOU WILL 9E RE,L.OY FOR 1N5PECTI~, Co.NTRACTo.R5 OR o.l:N::R5 NI..,",E "'~D
PI-Io.-E NlJM3ER. REQ'JE5T5 RECEIVED 5=FORE 1,= "<"'1 WILL 9E MADE TI-IE 5AME DAY, REOJE5T5 ":"=TER 1,=
A'1 WILL BE MADE TI-IE NEXT UJOR<llG DAY
EXISTING 5U1Lr)/NG ~R'MIT NO. ( r;: APPLICABLE)
*' ~== 0"""",,,
.,.J__~
YOU~ CITY D:::5IGNAi'ED J03 NO. Isf
?S/Chcl
REGlUIRED INSPECTIONS
~
51DEWALK I DRIVEWAY
f'OR ALL CONCRETE PAVIN6 WITI-IIN
me 5TREET RIG!-IT OF 'WAY, TO BE
M.4.D::: .L..=TER ALL EXCAYATINC:s
15 COi"'iFlETE AND FO~ W?~
A~D SU9-9ASE MATERIAL IS
IN PL,l,CE
D
,_ CURS I APPRO,L.CI-I APRO
Ao:-rER FOR'"15 ARE EREC'l:
BUT PRlo.R TO pO~RING
CO:-.JCR.:TE.
FEES,
SIDEWALKS
~10.00 . 10.15/LF. ( X )
or:: WALK
CUR!3-CUT
~10.00 . 10.15>/LF. ( X )
TOTAL PE~IT FEE, S .r9'
,-
1 ~AVE .CA~"i=uLL"'" EXA~INED TJ-!E COMPLETED A~LICA7iON FOR PE~IT, ':"'''-JD DO ~EREB"'" CERTIi=Y 7~.l.T ALL
INFO!<:'1ATION HEREON 15 TRUE A~ CORRECT, A~ I RJRTI-IER CERTIFY TI-I,L.T A~Y "'~D ALL u.oR< PERPOR7"l"D
51-1ALL BE DONE IN t.CCORDA~CE WITI-I T!-IE ORDIN-'-~CE5 OF THE CITY OF 5PRNGPIELD, AND T!-IE L~ OP T!-IE
5TATE OF OREGON PERTAINING TO T~E WO~ DE5CRI9ED I-l.EREIN, A"'lD T~AT NO OCCUPA'lC'T" W:LL 9E H':"DE
OF J::.~Y 5T~CTU!=<E WI-r;-lOUT PER:1ISSI0':'4 O? THE BUILD~C:s DlvISIOt'/" I FUR.J..eR CERTIFY ~~..1T ONLY Co-..1RACTO~5
.t.ND EMPLo.YEE5 Ilh-Io. ARiO IN COMPLIA~CE WITI-I o.RS 1"'1_5 WILL BE U5ED ON T!-I15 PROJECT.
COO1MERICAL DRlVEWAY5 51-1ALL
I-lAVE 5' TO. 8' FLAIR5
3'- O. 5TA~ARD
WAL< x'
/ "'"
t x' .1-.
51GNED
DATE