Loading...
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