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HomeMy WebLinkAboutPermit Signage 2000-10-23 'C _-20-00 10:4~,A . . P.02 -,"lolrH.1 II It. TRANS#:Ol-0003564 ?-? 0 o llANN)':R l'EllMIT COMMUNITY SEllVICES J)IVISION 1 225 FiHh Srreel Sprinsfield, Oregon 97477 {.r;., J I ::"Ii )/:,:! 11\,\ 1~1.lfl ,';.'1., JWf~1 oni"c: 721).)753 INSrECTlON I,IN": 726.J7('Q !lollller Loenlion: _ -N.~~ S'Yr:~"" l.t.'o. A.'i5eS50r.i Man 11:__ ,\ ~ . t; <uv(( - '" .'L ' I. 0_-""'>-"" L.lc>">u-Mwrc-li\ " ()~ 0..7'117 Tnx Lor .~ ~ Uwn~r of Property; \~\N Cily:_ ~...'\'~\ ..DR, COnllAClllrlln'lnl/rr: _, " (,~\- SlalL': .QR.._. S "'~-Q~(i\ '__ PII"n,~-j:l1-7 57'. A7q~ Adctrt:s.s: ,_Zip: Address: I'II0lle 1I,3LJ 1-~LU 'j' .; II!:.' ,- .1,,' Clly:_ $li'llC: 'l.ip;__,.. '\l..,<.I...""", (!", u... ""'v-~-\; l:'o....+. ' . P.\:I\irO --- .-- " CnnlilrllCllnn Cnnrr"n(,lon Hl'gi"rrnriOll Nlllllher: (" 21f3':J 1)(',Sl'riptllln:__u Dote of 1f1.~lllllolloW ---, G-~i~-~=--~- .JD ',__, ll:'.Inncr I'crlllil Fl'C $40.00 !lorr of Ile",,,val:rl"r-'"[- 0,<') '--'IT L__~__ -_ -IJ f)eposil He,!";""d ,~IIIl).UO Uy sicnntur(', I slate Dnn Agree IhJl1 have: I.:arcl"ully complch.;u thi!' appliciltiun :.lIHl h~rt:b) cl'flily th:lI;'\1I inrormarion hcn:in i" Ime nnd currect. I furlfll"r agree nud llllUCrSltlnd rhtH 1111': ahovc des'::l il'u.J h;Jllnl,.'1' (5) is 1101 larger thnn 60 square feel, .lOll will be removed wilhill 1 t1 duys from the lblc.: li"led ....cboyc. J r the h;\I111CI'{s) is not removed within Ihe timelinc spcciricu, I will (urlcit the.'&: I 00.00 tJqltlsil. I abu unJcr';\:l1ln rh<ll this sflr.:ci;J! permit can be issued only (wice per calcnOi1r yeM per lkveloPllltlll arca. I ;)1;)0 ,1~rCI.: 10 Gill lilt" iIJ:>prl'tion line ;u 726.37"~ hy the l~II(J llrthe 1'1111 cJilY 10 leqlle~1 all insflccriOlll1J verify the 1"t"lllOv:l! tll IllL' h.lll.1cr(~:d This in!;pCClioll will hc:gin Iht rllt.:c.';~; 10 rerum tlll::S rno,OO dL'.pll.';it if the bil/1I11.~r(';) h:l'; hel.:1I fL'I:I(l\,(.:d ~~ ~., , . -- ll:llc- /,?_~?.I- 0r:.J ........ -.......... ....h.... ..... '..n... .....-........ -.'---".-"" _..._........ ........ .__ ...... ._.. .._... '" .h....... ........... OFr-IC:F.I)~l Dille uf ApplicJlillll: I(.h II: 1{':n.jflIJI' "~ued lly: Amt\Unl {' 1~\1~~(t\..'d: . ----- -- .~---------_._---- - --.. ------------- ---------------------------------------- CITY OF SPRTNGFIELD 225 FJ FTH STREET SPRINGFIELD, OR 97477 ( 541)726-3753 ---------------------------------------- ---------------------------------------- WELCOME TO DEVELOPMENT SERVICES AND PUBLIC WORKS - ------..------------- --- --------------- ---------------------------------------- REG-RECEJPf:01-0003566 C:DCT 23 2000 CASHIER 10:001 1 :28 pm A:OCT 23 2000 -_.~ - ------ ----- - -----..-- ------- --------- ---------------------------------------- 1065 BANNER/BLIMPS JOB#:OO-OOOOO-OO 1049 DEPOSIT (BlDG) JOB#:OO-OOOOO-OO $40,00 $100,CO TOTAL DUE RECEIVED FROM: ALBERTSON'S $140,00 ~ $140.00 TOTAL TENDERED $140,00 " CHANGE DUE $0.00 ---------------------------------------- ---------------------------------------- tPay Name :ALBERTSON'S tMail Addr :2000 MARCOlA ROAD *Cty/St/l :SPRINGFlElD OREGON 91477 -Site Addr : ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- THAUK VOU!!!!!! ---------------------------------------- ---------------------------------------- . ---------------------------------------- ------------ --------------------- -------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541)726-3753 --- --------- - -- ---_._- ---------- --------- ---------------------------------------- WELCOME TO OEVELOPMENT SERVICES AND PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:OI-0003565 C:OCT 23 2000 CASHIER 10:001 1 :24 pm A:DCT 23 2000 ---------------------------------------- ---_______________________________n_____ i065 BANNER/BLIMPS -$40,00 JOB~:OO-OOOOO-OO *-**Hi- 'H**H..******., UY-* H <t***"*, RE[fIED_~1iOZV~IDIijG_LiEM-:01~0003564 t** *,*H*' *, H*' * * ** * **** * * **** * *** ****** 1049 DEPOSIT (BLDG) -$100,00 JDB~:OO'OOOOO-OO .H *, 1***************,,*************,**** RELATED VOID/VOIDING ITEM :01-0003564 *t*************************.******..**** TOTAL DUE RECEIVED FROM: ALBERTSON'S -$140,00 CHECK: -$140,00 TOTAL TENDERED -$140,00 CHANGE DUE $0.00 ---------------------------------------- ----- - ----. -,--- ------- ---- --- ------------ -------- ------------- --- -..----.--- ------- ---------------------------------------- THANK YOU!!!!!! -----_.,-~ - --~-- ------ -- ----------------- ------------ -------------- --------------- ~- ,'\. . DUPLlCAT~ RECEIPT DUPLICATE REGEIPi ----- ----.- . ----"..-- -~-------------------- ---------------------------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 )726-3753 ---------------------------------------- ---------------------------------------- WELCOME TO DEUELOPMENl SERUICES AND PUBLTC WORKS ---------------------~.~_.__.._---------- --------------------_. - -- ---------------- REG-RECEIPT:01-0003564 C:OCT 23 2000 CASHIER 10:001 1 :20 pm A:OCT 23 2000 ------ - -- ------ ------ - -- -------.-----.---- --------------... -- ----- -------------- -- .-- 1065 BANIIER/BLIMPS JDBU:OO-OOOOO-OO 1049 DEPOSIT (BLDG) JDB#:OO'OOOOO-OO $40,00 $100.00 TOTAL CUE RECEIVED FROM: ALBERTSON'S S:~Ur1-l'V\) $140,00 (b::,r. TOTAL TENDERED.-----m;~~D~OO $140,00 CHANGE DUE $0.00 - ---- ------------------------------- -..-- ---------------------------------------- ---------------------------------------- ---------------------------------------- THANK YOU!!!!!! ---------------------------------------- ---------------------------------------- DUPLICATE RECEIPT DUPLICATE RECEIPT