HomeMy WebLinkAboutPermit Signage 1993-10-14
SPRINGFIELD
JOB.BER C\o\ 5~ I
Inspection Line: 726.3769
Office: 726.3759
>WNER: !?"J,.<? I"
c)~\tr)
PHONE: 7~7 - 6e, 2.?(
:ITY: SPlli^", (:': ..1",1
,
STATE: ~/t
'R(')(,/r....<.;
ZIP:
C\ 1400
lUSiNESS NAME, FIRM EOC.: S't'. h(y, L/{nLI<'t'
X Wail
Freestanding
_ Projecting
Roof
Marquee
*
" ,
JESCRIPTION OF PROPOSED SIGNIS): (please check and complete ail appropriate information)
1-
Single Face
Double Face
/ S' 4i'
Billboard
Other
Square Footage:
/'" ,,_ /_ /r
Total Height above Grade: "' - (&
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/ ~. "~""'"" ."",,,",,",",, /V
Eiectncal Instailation ,.:. es _ No VALUE <r
1// ,. _ 0 '" p c 5
7 (If yes additional electr mit is required) OF SIGN: -J YO
00
,-
Vertical Dimension of sign or enclosure:
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of: ;'l'/e ~...I T cola", f;'L.
i
.s ;>101-
List All existing signage and attach ~ photograph of each sign: ~<.
/1/1 s:,,__'1~ IS e./',,-< I (..~tfeR:; + ;1I~n,
lal Type t Sq. Ftg. (bl Type
Pfl'lN
Sq. Ftg.
lcl Type
(j)
CONTRACTOR/INSTAllER: 5 Un - 'Tee... -S':1" S' c"121i;C. -e :z;.. c ,
\
Sq, Ftg,
(d) Type
Sq. Ftg,
PHONE: 20/'6 . 7 ~/ 7
ADDRESS: :Y'S'iIC, .b; //.,./ en,
t
CITY B\JSINESS LlCENS~ NUMBER:
~ ::;> ttP S" ~ .s
,--
.... ..... .......--
ZIP: 979'05
EXPIRES: 7-/6 - 94
EXPIRES: ~-:;r..."'7Y
-
CITY: 7,Y";./,/...
, . ,/
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
STATE: C?R.
%Or,/J..~
OFFICE USE
Sign District:~. ~mmOr{\I(aJJlnd Use: 6--:lf[) Quad Area: ......t;;Jf y"c::.c )
C-.G 'code Section:. . Cf - '7 - /4
4f) ~ Approved By: '.UfU ~~?Qf )
Zoning:
Sign Permit Fee:
DATE: \D . \4' , l\~
REQUIRED INSPECTIONS:
, Site Footing 'V, Attachment X Electrical V\ Final
to be m"de prior prior to placement after fasteners 'are prior to energizing completion of sign
to ,sign. placement of concrete ,instailediprior to cover electrical..instailation instailatioQ,./\
Additional Comments and/or Conditions: cto 01\U...f'n () ,-f\\lXn\ ,t ) ~O ( f 1 J/. Q..e V
~1\ \N"' + D l ~ ~.f5t\L~ f'o. 0 U\CJ}Q ~ 0 n -h~ \
By'Si}"a;ure, I state and agree, that I have carefuily examined the completed application and do hereb~ certify that ail information herein
is true 'and correct, and I further certify that any and ail work performed shail be done in accordance with the Ordinances of the City of
Springfield. ,,,nd the laws of the State of Oregon pertaining to the work described herein, I further certify that only contractors and
employees who are in compliance with ORS 701.055 wiil be used on this project, .
I further agree to ensure that ail required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located at the front of the property, and the approved set of plans wiil remain on the site at ail times during the instailation
of the sign(s).
Sign8tu~e ~~
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Date/P-//-~'f
Validation:
"
Amount Received: 'f,p. -
Receipt Number: / C7? S-c::' .
Date Paid: //-'2.-9~
Received By: .. //6"- 4 ;,;., L--" .,..
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