HomeMy WebLinkAboutPermit Signage 1998-7-31
SIGNPER~IT APPLlCA TIONe
SPRINGFIELD
JOB.BER Q111q1
225 Fifth Street
Springfield, OR 97477 5155 a... ~
SITE ADDRESS: &31&fJ-S- Iv'\l~l f,\ 0f ~"2{~diW
ASSESSORS MAP: /'1/yL:.-'l?l44'. ._""T .
M~Ue-~\-..j0 tJ..G. JerJ~::UND
ADDRESS: f (Q (;,f)'(.. \ '3" ~
'ClTY: $ etJvelcA
Inspection Line: 726.3769
Office: 726-3759
TAX LOT:
()()lS.f. Y )
7v'1 L({K" q roo I
I
A
OWNER:
, PHONE:
~[~
~:""""
~.
q ':) C;;O--z.-
,
STATE:
ClA
ZIP:
BUSINESS NAME, FIRM E'l'C.:
lL So ISA W!L:-
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
V Wall
Freeslanding
_ Projecting
Roof
_ Marquee
L Single Face Double Face
Square Footage: ~T
Billboard Other
Total Height above Grade:
/5'
Vertical Dimension of sign or enclosure:
;:S'
1('1"
Horizontal Width of sign or enclosure:
Mater:al Sign is constructed of:
Al--ul---\.
Electrical Installation: . .~MeE~ No VALUE I
(If yes additional electri~M\lt IS re'lJ.lir~il Ej@iRIfiI1l'TI4~ 11-lS,(t>-<-<..-
THIS PERMIT ~HI\ NOT ~
ts~ _ pz...,-,. n c:- ,_ '" ~...C' IIMnl=1=\ THIS PEf\M\i ~ i.J r. l c.,,--.}
'! /-IV I nvl',--- - ONED FOR
, __ C\.n '" ^RAN[)
COMNlt:I"V'-c, ,,', . "-
N"o A~S\r{jM*~S. ~ U~ \3t>-~ (L-
Dimension from Grade
to bottom ot Sign Enclosure:
/2- '
List ALL existing signage and attach a photograph of aach sign:
la) Type
Sq. Ftg.
Ib) Type
Sq. Ftg.
Icl Type
Sq. Ftg.
Id) Type
Sq. Ftg.
....
CONTRACTOR/INST ALLER: Bs eLl A s'c b~ ~ A-w tJ I tJ (, . ou';:' PHONE: 4%~ ---ruL ("
ADDRESS: 17.-(0 O~{Jp..lL--l;t- iVC> _ \..,,~ le(\IlII~~ \.l\iliW \1"
.Olegv" ~:~.. se\w'
CITY: GJ(o{~ ~-rt"I".~\'O~;'n;l\q:\f?t ~\("'2.()O~-JZIP: a,7<.(O-z.....-
,. o"'lfljlll,"M;n\el.\\W 1lQ,'fI .. lilIeS'" ...J~
CONSTRUCTION CmJTRACTORS REGISTRA TION NUMB~. ',~~'e,-,,\ n~O \'fIIO _'0<; 01 \\\ep~ePift!S: Cf1t:1
/), I _ O~ gS2-\Jv obtaifl ""re' \\\e \6'''',. a~lofl f I qa
CITY BUSINESS LICENSE NUMBER: ~LLU Ll\ ~t'IItl\a'! .\t>J.J~o ,;,,\\\,,~O~~IRES: @ 3-0 ,-,
U\J~ \\'l\Q, \l\" e. OleQ,\J'" "2-2'~1'
~aF\ '. ItJS~~,<;~.BOO-:3"
C(" )ve.... '2 /I 1,..1 ()
La;:d~s:~cti:~~l. h ,t~ ti Area: ,J\y,l\.J
Approved By: \ll\~ ~'U\J
Sign Distlict: ~Gr~i(l Q
Zoning: 0~ )
- OJ
Sign Permit Fee: 5t:!\,
v
DATE: ~ .~(JiZ
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
L..-Attachment
after fasteners are
installed/prior to cover
......-eIe;trical
prior to energizing
electrical installation
V Final
completion of sign
Installatioll
REOUIRED INSPECTIONS:
Additional Comments andler Conditions:
. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all iniormation here;'
is true and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City 0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. 1 further certify that only contractors an
employees who are in compliance with ORS 701.055 will be used on lhis project.
I further agree to ensure that all reQuired inspections are reQuested at the proper time, that project address. is readable from the street, th;
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installatio
of the Sig~ ~ ~
Signature --,-1 \)' v \ ~ Date 1- J1 -1 &
Validation:
Amount Received:...i:LK. ~)
Receipt Number: (g()er ( y
Date Paid: ~/:s / 9' r
- ,1
Received By: _If,' ./7fljj/'l...-
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