HomeMy WebLinkAboutPermit Signage 1993-12-29 (2)
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X~bN j'[l,IV1IT APPLlCATIO.
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:~:::Ll Fd III Slr(:~l
Springli"I", 01'1 97477
LOCATION OF PI1OF'OSED WOI1K: 5761
A:,sc:.SOFlS MAPJi)Q~ O?:>L\ \
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CITy-?f'~\!\.16Yt8ID
MAIN
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J01JllllliillM13EIt
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Inspection Line: 726.3769
()~::;;?~s)
ct~to?__
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TAX LOT:
r:\.rn'f'l'rAL-- PHONE:
"1z.(o - tft.-/ '5(') .
ADDf1ESS:
BUSINESS NAME, FInM ne.: l'-'lIt;.<7-rnl!
De-
,M~IC--AL ?llN/C.
STATE:
ZIP:
q 7'17i
DESCI\lI'TION OF f'FlOP05ED SIG~lIS): Irlc"s" check and complele all appropriate information)
X Willi
~-X Sillgle Face
Freestanding
_ Projeclino
Floof
Marquee
."
"
.~
-'ii
Double Face
Billboard
Other
" SquJre FootaOe: --&?Y. fSC;
J2f
1.5 If
Total HeiOht above Grade:
\2..G"
Dil1H:rlsiUll from Gr;IlJ(~ I rt
III IHJ[WIIl of Sinn: In. - n
~
Electrical Inswllati( n:
(If yes additional I
. I Width of sign or enclosure: ~/ - '0 II
No JJ ( 583\ (To\....~ '
VALUE: l ~ . Vv. ~ ~l
~:r- Mt<::l:Jl.L--EU::Y l \~\"-';;N~ /
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V{:rtical Dimension of sion Or enclosure:
Matt;ri;ll SiUlI is constructed of:
ILLUM/1J.lIcTv-D /-UAI-I NI'O:!, L.--re.S
Ust ^LL' l~xislil)!J siqnauc ;:1I1d Httach a photograph of
. I
\'f
(il) Tyre
Sq. Ftg.'
<,
,Ial Type
.,
1r:1 Typ<:
Sq. Fla.
Idl Type
Sq. Ftg.
<:
^DOHESS:
(tlD
f?UG\' V--N e- 0 R--
~\JcS e.NE- 6~f'.-.\
OAY("f'A"-c.\-\ 12-1> .
6 ~N(NG PHONE: '~-6'5.L/.b
CONTnACTOFl/INST ALLER:
CITY:,
STATE:~' ZIP: Cf7L/02-
0? '1 01 EXPIRES: I z. - z.o ~ '7,/
EXPIRES: 0 - 30 - 94
CONSTIIUCTION CONTnACTOFlS FlEGISTFlA TION NUMOEFl:
CITYl1USINESS LICENSE NUMOEFl: q <3 D 5'DZ
. ,
OFFICE USE
SilJtI District:
Dnd Use:. ~W') ': ' Ouad Area:.
'oO" '"''''\~ -'7-14 n \
. Approved Oy: ' i> V~~ f)
,-;~~
ZOllinU:
SiUIl P(:nllil Fcc:
DATE:
\~.~qE~'
__~,___. S i I C
10 l)(~ IIl:lU.C pri6.r
to SIUIl,pIJccI1lCnl.
FOOlinO
prior to pl':lcclllcnt .
01 concrete
~..
^ltilclllllCnt
i1fl. _ fJstencrs nre
installed/prior to coyer
: cV 'Eleclrical
p(ior to cnergizin-g
cAnal.'
g!lnpletion of sign
installation
'r
nEOUI.fiED INSPECTIONS:
,," ."
^lll/itiurlJl COlnments ..Hld/or Conditions:
By SiUIl<llur8, I stale ;Hld agree, thilt I hJye c<Hcfully eXJrllined the completed application and do hereby certify that;all informalion Ilorein ,
is t(lJ~ :Hl(] ,GOrrCCI, ilnd I lurthc'r cenify that i:Jlly iHld all work IJerformed sh~1l be done in' a~cordancc with the Ordinances of lho City 01 ",'
'Sprinulidd, nllu the Laws of the Swte of OreGon pcrwinino to the w.ork "described ,herein, I further certify that only contractors' and
erllpJoyecs wllo ,Ir(: in compliance with ORS 701.055 will be uscu on this project. ' fl ,; ,1,':;
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Ilurtllcr <JorGO to ensure thM all required inspections [Ire requested al the proper timc, thnt project address is rcadable from ttw'street, that
tIll; permit C~lru is loc.:,lt:' at tIle front of the properly, and the up proved sct of plans will rcmain on the site at all times during the installJtion
01 tile sionls). ,
Sionature / ~~//~
{ ~
Date
1"2- - z. 7 - q~
":'';l,. (,
. ,ti', j'
, ,,; ~
V;llidilti(JlI:
Amount Received:
IJ()CV
. \ r~r;?
Dille Paid: _' J~ <3b~ ~~
Received B'~ 1m ).
'~r -, " -
Flaccipt Numbcr: _
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SIGN PERMIT APPLICATION
TIH: ,lppli(:<lliOll 011 (lw reverse side needs to, Ill) COlllplcteu Cllliruly. If you arc the siUn conlraGtor/inSlilllur, or if you arc'
hiring a COll{(iII.:IO(, you need to rnllkc sure tllallJoll1 tile City 01 Springfield l3usiness License Number and the Registration
NUIllUCI from ttle State 01 Oreoon COllstructiol) COIHractors Board arc lislQd on the application (JIang wilt) th~ expiratio.1l
. dilte of cad!.'. . . . \,
If the sign you arc proposing is illuminated, an electrical permit application also needs to be completed and 'signed,bY' either
.:l superviSing .cl,cctrici.:ln. lrrniwtl sign clcClriCOJI COIHroctor, or II you orc tho business ownor who also owns tl)~ bulldlng III
which you arc occupying, and you will be performing the electrical installation yourself, you may sign' the' electrical
JppliCJtion. ,,' ' '., . ,',,', ',: .:'
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If, there lire cxistinu wllll. and/or freestllndinu sigf.1s, a photographls} of each oxisting sign needs to be attached to'tho " ','
applicatioll, The size of each existing sign also needs to be listed on t'he application. .
PLANS
To sulllnit for J sign permit, you need to prepare two complete sets Of drawings showing all dimensions, total height, and
':l plot pian indicJlillg whcfl': till.: IJfOpOSCU sign ....vill be' located, It you nre instnlling 0. !rcc~t:mding ~jgn wh1ch exceeds 20,
luut in total height, the footinu detail needs to be prepared and stamped by a registered engineer. Alter the plan review
process is compJeted,-.md; if your. sign(sl is llpproved, one set will be returned to you; The ap'praved set of drawings need
to be: at llw site when an inspection is requested lor the inspectors reference.
INSPECTIONS
.
D(~pcndinu .on your SiUll(Sl. you may be required to request one or nil of the following inspections during the installntiall
of, your Si9_1l:.
"
Site: To lw requested alter indic(ltinu on the lot wllcrc the proposed, sigf'! will be located but prior to any work
being performed for the inSliJl!ation of the sign, This inspection is requircd,if there is a question on the
location of the proposed sign.
FOOlin{J:
To be requested ailer excClv~llion and the forms are installed, but prior t~ pouring concrete, If there 'will be'
electrical conduit placed in ttll: lootino, it must also be in place prior t~ requesting this inspection,
^llJcllrnenl: To \)0 requested when all faslCners arc installerJ but prior to cover.~'
'Electrica'l:
To \)e request~d after -the cle'etrical connection to the sign' is mad~, but pri~r"to cnergizing.
. .
Final:
After all required inspections are conducted and approved and the sign installation is complete.
., .."..
The inspections. that (!fC required for your specific sign will be indicated on the application during the plan revi~w process,
Failure to request ANY of the rcquirerJ inspections could result in sign removal in order to inspect the sign iJt the required
intervals of work. .
To rcq.ucst ;:In inspection, phone 726.3769, lThis is a 24 hour recording. On th.e rec'ordillO'y,ou will need to leave your City
Desiunatcd Job Number. loention of where the sign is being installed, the type of inspection you are requesting, and when
you will bc rClldy for the inspection, All inspections called in to the recorder prior to 7:00 a.m. will be made the samc
workinu day. all insj)cctions phoned in afler 7:00 a.m. will be made the following work day.
If you have Jny questions regarding the npplication, required plans Of inspections, please feel free to phone the Building
~~:If(:Ly Divisio;l,.n 72G.3759.
'.
Cil)' of Sprillglicld
,BuildillJ,.: Safely Division
225 Fifth Slrccl,
SJl,'ill~licl". OR 97477
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225 FIFTH STREET o"QI. ~ <"i",,!:A'ct s ELECTRICAL PERMIT APPLICATION
'"'flOf 3{:1I6 .
SPRINGFIELD, OREGON 97477" ""'/' . '0';<lir0 '>iitled n "L fIV1\ _ n 1
INSPECTION REQUEST: 726-~769 ~/[\;~'I;:} ,CV "'-'"C~~'~~J~01/0b Number L/j_~J\ H ~'.I!;;;i:::..L.
OFFICE: 726-3759 ~u,. '0j. ~, VII"" "'I""
"'0:'<\I~. ''1.:5 .''_COMPLETE . FEE "SCHEDULE BELOV
1. LOCATION OF INSTALLATION "'!{Jr:q"~ro "- ~
_5"761 MAIJ-.l 5r. New Residential-Single or .
Multi-Family per dwelling unit. r
Se' ce Included:
"-
(( y',
'- r: ; ...
~ ..J I
1000 sq.ft. or less
J .Each addi donal 500
, .
~ sq. ft or portion
Permits are non-transferable and expire ther~of
if work is not started within 180 days'l~: Each '~nuf'd Home or
of issuance or if work is suspended for' ~ Modu1af~~11ing
,.... . :-.
180 days, 'I '",,, 'Service or.....eeder
... ., t~~~
'J '-'
B. Services or Feeders
Installation, Alterations or
Relocation:
~4It DEs.QUfQ:ON ~
II Inr1-.'~ ~\ 0?-'~?[ ):'r.
~~.t
JOB DESCRIPTION ' 1.,~.
, I
ILWMtrJA.-"~D 171.1.\.1 C.t+A."itJ"'L L-E'-~tz.'? '.J
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor E\JL19l~ plW ~ ~\NtP
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Address Itlo OAk'FA.lc.tI- w- 200 amps or less $ 50.00
201 400 amps _.- $ 60.00
t. amps to
City W6Iewe-- Phone "~-:';6.4J " 401 amps to 600 amps $100.00
., 'J, \ ". 601 amps to 1000 amps $130.00
Supervisor License Number 515<.::> le:r' i" . Over 1000 amps/volts $300.00
In- ~ ~ Gf& \. Reconnect Only $ 40.00
Expiration Date
Constr Contr. Number 02qOt
C. Temporary Services or Feeders
Installation, Alteration or Relocation
, -
Expiration Date I-z.' 10- 'I::>
Signature of Supervising Electrician
"'-==--)~~ ~ ~ ~
Owners Na~e~:t t)~ \ ttl); ') D.
Address \4:\00 ("), ~A 001-
City 9f)\Qv't Phone-WI)44~
OVNER ItstALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~---_. /~: 3o.,':-i3, ----------
RECEIPT II: r: j {r I~
RECEIVED BY: ( ~f/)(""~ ) €11'
,
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting ~~
Limited Energy/Res .
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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S~GI\! i'l~i;IV1IT A1>r>L1CAlIOI.
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SpliIIUlil:I(J, on 9"].177
~;.I'IIII'l('.r' "'.1.1)
JUUeMIJElt CJ~ (O{JJ
Inspection Line: 72G.376Sl
~'~;~G~
-12lo - t.f'-i '5 ()
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LOCMIOI'! or PI1()F'OSEO WOI1I<: "5 7f2C_t1AIN vl-
.~::"[:::;OI1~: MAP: ____,_\C:tQa3~-------,-------------,-- TAX LO;:
OWI'IEII 1'/1uk\::oN?-1 '2:.-/ vJ I L-L-NAl2:TfE'-
.-.--- /
\~{rII 0
CII\' _._7f'!?li::l6.8J2l:::>
(:\-rJ<?1"1'fAL-- PHONE
^DDnr:ss:
STATE:
oe-
t:-!lN I C
ZIP:
'1 7L-(77
I:U:;INIS; NAME. FlflN! ETc.:--==--+l:l_\)~JnW.__,-M (::;:Dr ~J,,-
X W:dl l:rcl~:;WI'HJiIlO ProjectinG Roof
_~_?<:. ~il'lll" FCJ~:C Double Filer: IJillbo:lfd Olher
,S'Iu:lfe rOO1.JII'" _._,&'0. 0~ TOI"I Heiollt "bove Grode: \2..0"
r) " /
V<;rlil:;d Oillll.:nsioll of SiOll or enclosure:;t..-6 1- -I Width of sign or enclosure: I Z _ - G/'
lli,,,,,,,silJlI Irolll Gr"",, I rr Eleclnc,,1 II1SI"I, lIrG . YgJ' _ No elf l( 5t5J.-1 (TOT""~2\
III 1"'11'1111 01 Sill<1: __.-.I() , - Q III yes "ddll onJI~l_':r1eqUIfCd) VALUE: ~ - 00 ~ 1
M;Il,,,;;<I Sillll ;:, Cll"slllIcted 01: .--lll ()MI ~)~1Y.J::L /iJAt--1 N0\ L:"".-? -0WLMt<:-1 :A-L ..J2J .FY ,\~\ \.. ?lION:> J
I' I
_ Marquee
*
l)1~ScnIPTIO!\1 Or: PHOI'OSE[) SIGi'J(S): (p1c:lse check ilnd complete :111 appropriJtc information)
(:l) TVIH:
~
Nf
Ib) Type
Sq. FIg. '
l.i:.l ^I_L (;^i:;lill~J :;ion:l0l: :111(1 i.lttilCll ~I pllotoar;:lpll of caclC-slun:
Ie) Typ"
Sq. FlU_
Idl Type
,5'1, Fig.
CIJNTI\ACTOIJ/INSTALLErt: 1=:.'J6 eNS DiStI'--l ~ AWf'..Ill0G
At) [)f,L ,:~; . _JtlQ_..__Qt--'f(f'8:rc\-\ 12-1> -
CITY. ___co_.. f?~~ !2.-...i' ~ ________ STAT!::
PHON!:: ~ - 55"'-lb
0J2-
ZIP:
Cf7,!..(02-
/2- - ZO ~ Cfe.;
C; > 36 '~94
CUi'J::TI :UCTIOI, C:OI'ITII^CTUIIS I\[GI~;TI1A TION NUMBEI1:
CIT'IBUSINESS LICENSE I,UMIJEI1: __.9..:?_I?__~Q_?:__,
(;0"'101
EXPJf1ES:
EXPJf1ES:
OFFICE USE
S;~J" DiW;CI:~~~__LlfJ'{'fJJit:l'eI Use: \.~-cry) " Quod Arc": '- ~ L ~ U
"'",ill!l: .___.__c..l:_~___--, Coele Section: q - r;~ /1 (I ')
Si!I" 1'(;111111 f"e __'10.CO . Approved By .LJ~rn.)~~_DATE)1), ,.().q.q:~'
111:0UlllEl) IN~;I;ECTIONS:
Site
m_U_~ Foolinn
prior tu pl':lCeJ1ltnl .
01 concrete
~..
^11i1cllfllClll
a cr f,lslencr5 arc
inst:lfled/prior to cover
l~lcctrical
pF ;ncroizin-o
'0 i"l1.:1 1 "
0'npletion or siun
.fflstJll~llion .
III Ill: Jll:lCle prior
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to SI~1I1.[lI:lcr:rncnt.
A(ldillllll:rl COllllll<:I\tS iHld/Ol" Conditions:
.......... ...,..---.-...,..-..-.-- ..... ...-. ..--- ----...---. ----..---.---.-----.-.--.-- -~ --~--
13y :.;j~II1:llur(:, J :;\il!C ;lnd ,1~Jr(;C, lh:ll IIl:lvc ciHc.:fully cXJlllincd 1he completed opplicntioll Jnd do hereby certify lI1Jt'<111 in[ornlJtion herein
IS [(\11: :lIl11.corrcGt, {llld I JurLhcr (;trliJy th;lt ~ny ;lfld ;lIl work [H:rlorrned sl1Jllbc done ill ;H~cordJnce willI tIle Ordinances of the 'City 01
:;;[lIiIlUJll:1d, ;JlHJ tJl(: L~lw:; oj Ihe SWIC of OreDol1 pc:rwinino to the work described herein. I further certify tllo1t only COlllfJctors' Jlld
{~Jl1Jlloy(:c:; wllO ,H(: in Gompli:lIlce witll ons 701.055 will be: used 011 this project.
..
I lurtlwr ,l(jfce 10 (;f1:>urc t1WI till required inspectiolls (lrc rcquested ill the proper time, thJt project .1ddrcss is reodJblc from the street, ttWl
tIll: peflnit c~lrd i:; IOCill" Jl tile front of tile property, ,:llld Ihe npprovcd set of plJns will remJin on tllC site Jt ;111 timcs during the inslJllJtion
() I II\(: ~;iOIl(s).
Si!lllilIUI"h
-O#~~
D"le
12- - Z- 7 - c:r~
V;ilid:ltioll:
Amoul1t F\cceivc:cJ:
flec"ipl NUIIlI,er: ~Jl8-~1
if)
GV
Dille Poiel: I ~.;y)1B
l1eceiv"eI ~y:rbi; ~ )
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SIGN Pl:IlMIT APPLICATION
TI\(~ .1Iljlll(;;l\j,)ll (Hl ttll: rt;vcr:;(: ~;itfl: needs to 1){; cOlllplelcd Clllircly. If you ~HC the sign COlllrJctar/inslJl1er, or jj you .He
IlirillU (J (;UflUiu:1or, you I)c(:d to lllClkc Slife iJ.l':IlIJOtll tll(: City oj Sprinulicltl Uusincs$ License Nurnbcr and. the Rcuislrntion
!\JuI1l1H:I frtlrn 111(; State 01 Orc:uon COIISlrUCiioll COnLriJC10rs UO':lreJ ,He listed on the uppJicalion Jlano willl tile cxpirJtion
d;H(: of e;lt:l"l.
II tlle .sigJl you <lfe nroposina is iltuminJtccJ. .:In clcclriezll permit appliCJtion also needs to be completed and sioned by either
oJ sUJ)urviSitllJ uli.:ctrit.:i;:JlI, limited siUn clcclric\.ll COlltf'-lctuf, or if you orc ttlC business OWl1or wtlO <:1150 owns tho l>ulldlno III
whictl you .)fe occupying. and you will be performing the electric;]1 instal!(ltion yourself, you m(ly sign the'clectricJI
:1pplic.l1ion,
"
If, there ,He cxiSlinn wall, Joll/or .lrcestJnrJino SilJl,lS, il photourDph(s) of each existinlJ sign needs to be attached to'tllO
application. The sile 01 e:lch existino sian Z1lso needs to be listed on the appliC(ltion.
'.'
PLANS
To sutllnil for;1 sian permit, you need to prcp.Jrc two cornplet{:,scts of drawings showing JII dimensions, total tleight, nne!
:1 plOI pi;1I1 indiclJlilt(j wh(;f~ l1H; or'upOS(;U sian vv'iilllc' :acai.cd. :: you u;c instc!!;ng u :rc::::~t.:l;nd:r:o ~:Dn which exceeds 20
lr:i:l in \01.;1 twiohl, the (oatillO c!e{;1it needs to be prcp:ucd Jml stamped by <J registered enoineer. Arter tile plan review
prncc~;~; i~; cornple!cd, ;lIH], if your siUl1(sl is approved, one set willlle returned to you. The tlpproved set of dr(lwinos need
to Ill:: :1l !II(; ~i!e VJIlC;fl :ll\ inspeclion is requested for the inspectors reference.
II"SI'ECTIONS
,
D(:pcIH1inU ,ot'! vour ;-;iUIl(:;l, you IT'I:Jy lJe required to rc:que:;t nne.: or all of the followino inspections (Jurino the inst~lllJtioJl
'()f your siU!l:
~;j Ie::
Tn be: requested Jlter indic,llil1U 011 the 101 where lhe proposed siOI~ will be 10cMel! but prior to nny work
bei~10 performetl lor tlle inSIJllation of lhe sian. Tl1is inspection is required.if there is a question on the
to(;,l\ion of the proposed sign.
FOOliIlO:
To IH! rl:C1uestct! <lIter excavation and the forms Jrc installed, but prior to pouring concrete. I{ there 'willl)e
t.:IeclriG11 conduit ptJCC(J ill {he footinu, it musl tllso be in plJce prior to reQuestinu this inspection.
^11~ll:lllrH;nl: To Ill': rcquusll:d when ,III IZlstencrs are illsliJlletl but prior to covcr.
[h,:Clrir.~ll:
To be rCC1ucstcd ;lftcr'the eleclrical connection to the sian is Illade, but prior to eneroizing.
^fler <III rc:quirL:d inspections ,lrC: conducted Jml approved Jnd the siOI~ installJtion is complete.
The inspections thJt iHC requin:d for your specific ~inn will be incJicJtcd on the application during the plan review process.
r=~littHc'to rl~quesl ANY of the required inspections could result in, sian rcmov(l[ in order to inspect tllC sign at the required
irlll.:rvJls 01 work.
Final:
To rcquc:~t ~II'\ in~:pcclion, phone 72G.37G9. 'This is a 24 hour recording. On the recorZJinQ you will need to ICJve your City
D(~:,iun;ll(~(l_ .Jol) r-Juml)(;r, lucltion of wlH:rc the: slUn is lwinf} illSl:J!Jed, the type of inspection you Jre requesting, nnd wilen
you willlJ(: H;ildy lor the inspection., All inspeClions C~]JJccJ in 10 tile recorder orior to 7:00 a.m. willlJc riliJdc the S;1t1lC
workino dil'1'. :111 ill~;p(:Cli9ns phoned in :liter 7:00 J.m. willlJc IllJde the following work d~lY,'.
If YOl! 11:IVll ~H1Y queslions rCO:J{(ling.tl1c ;1f1plicalion, required plilns Of inspections, plC:;lSC reel free to phone the [3ui[di~n
~;:lIeIY Divisilln.:ll 7:~G.3'/59.
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Cily or Spriil~rieId
,Building S:ll'('I)' DivisioJl
""5 Finh Slrel'i
Spriilgril'ld, O!( ~7'177
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