HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
tr=SIDENTIAL - COMMERCIAL
;~~~~~~ ~~T..
Ii!"'"",
n" NORTH FIFTH 5TREET
5FRIN6FIELD, OREGON ~1411
ENGINEERING DIVI510N
OfrICE NO. 176-31,,3
IN5PECTlON LINE, 116-316~
J09 ADDRE55, /Cf"7:L 101" _PJ.HU.so~
.o.55E550R5M,l.PNO.* 170':1, 2.-JqZ- T"-XLOT>:O:* /(")0
5U3DIVI510N,
O~R, 1-1 A SC A
ADDRE55, 3>00 vJ .
5,"-IE, 6 tC.
iJ.lOR< DE5CRIFTION,
st=>:UJ.4.LK: ~
CWR3.CUT:
(&2-1 IJ-/.../ ~I-J A r"1!lZ... ")
':::Alf:-VI~ CI,Y, GPe'/-Jt-FI/::'O?
:Z1P, "17471 P;.IONE NO.
CU:;S 51:>E _
~5IDa.;j'IA.L _
=EBACK _
CO,-r. JERIC.l.L
5ECOND DRIVEIllA Y I 5EE 7R.tJ'rIC )
REClUlRE5 AFPLICA7Io.-l FOR A 5EC= :>RIVEWAYI-r-~.1.)
OR A COUNTY .loPPLICATlo.-l FOR F,l.CILlTY PE~IT IC <;\8-103)
I~ IN THE U'::i5,
CAT: O? APFLICATlo-./
Ir/~-f>
SPRINCFIEl.O
RECEIPT NO, 11KOd
CA5H
CH::C<
~
.;;
C;"'EC<ED ~OR DELlNQJENCIES" !:.
.SIGl'2::;;:
~
T
150 e- Ie
"'-/r...",~
D.t..i":::
UlORK: TO BE FERrv"", ItoD BY: O<lNER
CON7Rt.CTOR* ~A--rDJ.-I r/\J..LC,'1t!.vCtIOjJ
=DRE55 2.'1 '$'14 ~ AI Pf'o"-.-1' Eel.
~T'RACj'OR
'"
RE615TRt.TlO>I NO. "'''''7 I
:=.XP:RES,?,Z-/-'l6
P;";<7-i.E,.qC,!- os <7'5
\-r<;v....to....URE FOR INSf":CTION REQUEST,
c...t..LL 126-3'6~ (R::COR!:>ER) STATE YOUR GIlT" D=SIC=~ED JOe N'.J:""i9ER, J09 ADDR.::5S, I , P: O?
1N5PECTlON REQUE5iED A'ID Uh-IEN YOU WILL 5:=. READY FOR IN5PECTlON, CONTRt.CTOR5 OR O~R5 NA.~E t..'lD
PHONE NUM5ER REOJE5T5 RECEIVED 5:FORE 1,oe> .lo'1 WILL 5:=. MAD:=' T;"':=. 5AME DAY, REaJ:=.5T5 -'-=iER 1,00
A~ WILL eE HADE iI--lE NEXT W:::>RKING DAY
*5=-t:o~
--~
YOJ~ CITY DESIGNATED J09 NO. Isf
EXISTING 5L!IL~fNC:s P2~IT NO. ( rr AF"PLlCABL:: )
C;:~/')r;, I
REGlUIRED INSPECTIONS
[f
5IDEW.l.LK I DRIVEWAY
FOR .l.LL CONCREiE PAVING WlT:-iIN
Tl-JE 5TREET RIG4T ~UJAY, TO 5E
M.!.DE: .t..=TER ALL EXCAVATING
15 COi"'iPLETE AND FORM ~
A~D 5UB-BAS: M.t..TERI.t.L 15
IN PLACE
FEES,
SIDEWALKS
.I@.@@ . @.I5/LF. ( X )
or= WALK
CURB-CUT
.1@.@@ . Y.1).I",/LF. ( X )
D
,- CURS I APPROACH APRO
A:-lER FO~5 ARE ER:C7:
BUT PRIOR TO PO~RING
CONCR:TE.
UJ.l.Li< x'
/ ""
t x' I.
., "
TOTAL FE~IT FEE,
s
o
COMMERIC.l.L DRlVEWAY5 5:-i.l.LL
HAVE ,,' TO 8' FLAIR5
3'- O. 5TA,"PARD
1 ;"'}.VECAREFuLL Y EXA'1INED THE COMPLETED APPLICATION FOR PERMIT, "''"D DO I-IEREBY CERTIFY 7:-:.loT ALL
1~~ATION J.lEREON 15 TRUE A~ CORRECT, A'ID I RJRTf-;:R CERTIFY i~AT A~Y A~D AlL lLOR< PE~ORS'iED
5:-i.l.LL BE DONE IN ACCORDA'ICE WITH TI-IE ORDIN-'-'1CE5 ~ TI-IE CITY ~ 5PRIN~IELD, AND Tl-':=. LAWS ~ T:-:E
STATE ~ OREGON PERTAINING TO TI-IE WORK DE5CR/5ED HEREIN, AND T:-:AT NO OCCUPA'ICY W:LL 5E M-'-PE
OF .t.SY STF1JCTU~ Ullil-lOUT PE~1551ON OF Tl-lE 5UILD!NG: DrYfSIOl"t I FUR71-1:R CERTIFY TI...t..~T ONL "( COSiRACTO~5
t..ND EMPLOYEE5 UA-l0 ARE IN COHPLlA'ICE WITI-I ORS 1"'1-'*" WILL BE U5ED ON TI-I15 PROJECT,
516NED
DAiE