HomeMy WebLinkAboutPermit Curb Cut 1995-7-28
11/"00
RESIDENTIAL -
-.:
SIDEWALK / CURBCUT
APPLICATION / FEf'l'1IT
COMMERCIAL
,4t-
SPRINCFIELD
ns NORTH FIFTH STREET
SPRINGFIELD. OREGON ~1411
ENGINEERING DIVISION
OR'ICE NO. 126-31S3
INSpi:CTION LINi:, 126-316~
JOB ADDRE55: '2-I.,p &, ~.- ~
ASSi:S501"5 MAP NO."" 170"3 L...'S ~.:;g
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TAX LOT NO: of. /q DD
RECi:lpT NO, I '8' S { !3
CA54 -L
5USDIVISION,
CHECK
O.lNi:R'--TiVv\ WI [)e,~
ADDRESS, z.-to (() h ~ D V
So AT:, i'JYL-- III", q 7L(7r
UOR<. DE5CRIFTION,
CrTY:.~
F'~0Ni: NO.' "7 4 ( -'?tfS~
'"
C;"";ECKED FOR D::L1NQ:J~C;=5 _
5!D:uJ.4.LK:
CURS-CUT: ~
cue 5!::>: _
!=C5ID:STIAL _
S=:TeAC< _
CO:-r.-ERICAL
SECOND DRI\IEWAY (5=:= ,~JC )
R:QUIRES APPLICATION ?'OR A S::COND DRIVi:WA':'I']'.4.1')
OR A COUNTY t.PPLICATION ?'OR ?'t.CILlTY FEf'l'1IT IC '08-203)
I?' IN THi: UG5.
DAT: OC APPLICATION "7- z.<? -CjC:;
SIGNeD, ~~~~
Dt.T:, '/ _72".AC
l -, /
~
UJORK TO BE FE~"" IcD BY,
*
CONiR.4CTO::< .
'-L
I
OiJ..NER CO~~CiOR
*
REGIST~TION NO.
=XPj~5:
~DR:=5$
P;"':O:-.1=:
F-""",,",,,,,aAJRE FOR IN5FECTION REQUEST,
CALL 126-316~ lREC=ER ) STAT: YOUR CITY Di:SIG~TED J05 Nu:-1=i:R. J05 ADDRE5S.ITF'i: OC
INSPECTION REQUESTED A"-lD ~EN YOU WILL 9:: READY FOR IN5P::CTI~. CONTRACTORS OR Ot:...N.:~ NA"":::: 4'1D
PHONE NUM5ER REQUESTS RECEIVED B::c~r= 1,00 t.I1 WILL Bi: MADE THE SAME DAY. REQJi:STS t.i'TER 1,=
A/1 WILL BE MADE THE NEXT 1llOR<.1Ne. DAY
'* SEE BOoK.
YOUR CITY D:S1GNATED J09 NO. Isf
EXISTING BUILDING FEf'l'1IT NO. I Ii' AF'PLICt.5LE )
q 0 .' ?0~
1$
SIDEWALK / DRIViOWAY
FOR ALL CONCRETE pAVINe. wm-IIN
THE STREET RIGHT 0;= WAY. TO 9E
Ht.DE A,C"'jER ALL EXCAVATING:
IS COi'1PLETE AND FO~ WO~
A"-lD SU9-9A5:: Mt..TERIAL 15
IN PLt.CE
_CURS / APFRCt.CH AFRO
A-JER FOR;15 ARE ERECi:
BUT PRIOR TO pOJRING
CONCRETE.
REQUIRED INSPECTIONS
D
FEE!!!:
SIDEWALKS
H0,00 . ~0.1:;/LF. ( X )
OF WALK
CURB-CUT
TOTAL PE~IT FEE,
s
\\ .7:>c;
COMMERICAL DRIVi:WA YS SHALL
HAVE S' TO 8' FLAIRS
;3'- O. STA'IDARD
WA.LK X'
/ "'"
l X' I.
.,
~10.00 . !0.1:;/LF. ( X )
I ;..lAVE .CAREFuLL Y EXA~INED TJ.JE COMPLETED APPLICATION FOR PE~JT. ~'-JD DO t-lEREBY CERTIFY 71-lAT ALL
INFOR;1ATION I-!EREON 15 TRUE A"'ID CORRECT, A"ID I AJRT:-:ER CERTIFY TI-IAT A"IY ~'1D ..:.LL lLOR< FE~O~ED
S~ALL 9E DONE IN t.ccORDA'JCE WITH THE ORDINt.'JCES 0;= THE CITY 0;= SPRINGFIELD. AND THE LAWS OC THE
STATE OF OREGON PERTAINING TO n-lE 1.1.OR!<. DESCRI9ED HEREIN, A""lD ll-1Al NO OCCUPANCY WILL 5= M~!::>E
OF ..4.o...:Y STRJCTU~ UJlir.10JT PE~t5SI~ OF TI-{E BUILD!NG DI\'ISI~.t I FUR7H::R CERTIPT" 7H,.j.T ONL j COSTRACTO~5
AND EMPL:'YEES WHO I\RE IN COMPLIA"CE WITH 01"5 10l.oSS WILL BE USED ON THIS PROJECT.
i lIn.--. b ~ -. (<-8 /~.,
SIGNED
DAiE