HomeMy WebLinkAboutPermit Sidewalk 1991-11-8
RESIDENTIAL - COMMERCIAL
'" 51DEWALK I CUR!3CUT .-
.: - I-f'f'LICATION I FERMIT ..;.
111'00
SPRINGFIELD,
L~
~
225 NORTf.I FIFTf.I 5TREET
5PRINGFIELD, OREGON '31411
EN<:;INEERING DIYI510N
OFFICE NO. 126-3153
1N5FECTION LINE, 126-316'3
.loa ADDRE55: t-, ? 4--5 / fa? 7 <:; IV! I<V,<1 Sr
A55E550R!> MAP NO.+; 7- c: z. - "34- - 4- ::, TAx LOT NO. "* 90 Z /2!P1
I
?<:Y /P '"'7
RECEIPT NO,
CA5l-4
~
5~5DIYI5ION,
Cf.lECK
OUNER, 6{ nJU~)t ~ r-:;{:)P~ ,!.Joh GAe.CI.rl....,
ADDRE5~ ~ c:; -:S4S /'v1 A 1M . ( Clrr, ~F'FL \:?
5TATE, 0'\2:..- ZIP, 974-7g PHONENO.74b-S3sf-
~ DE5CRIPTION:
I 5IDEWALK: -A- CU;<3 51:::>E _ SETSI.CK _
I CU;<3-CUT, RE51DESTlAL _ Co:-NERICAL _
SECOND DRIVEWI- Y (5EE TR,I..=rIC )
R:QJIRE5 t.PFLICAiiON FOR A &ECos.::> DRIY::WA""'('T-4.l.!!)
OR A COJNrr I-f'f'LICATION FOR FI-CILlrr PSR"<IT (C '38-203)
IF IN TI-2 U.G5.
DATE OF APPLICI-TION /(a/9 L
UJORK TO BE F'ER=v"", ,,,,D ay: X O;.t>ER X CONTRACTOR
. r
CONTRACTOR*" "''.SreAl/PHI LA ~. ~cc:f REGI5TRATION No.*tf,O%9
.a! ~ 'l!iCK:: ( PG=
A:::>DRES5 -.->4u.4.t:::=
Cl-lECKED FOR DELINQJ:NCIE5'* V
*
~Jl-~
1/ /O!fj/Cp /
, I '
SIGNED,
DAlE:
EXPIRE5'bjo8hz-
I
P;..;oNE;,
............."'....URE FOR IN$FECTION REQJEST.
CALL 126-316'3 (RECORDER) 5TATE YO~R clrr DE51GNATED JOB NUM5=R. J05 ADDRE55,T'rPE OF
IN5FECTION REQUE5TED h'lD UJ;-IEN YOJ l:J!LL 5= READY FOR 1N5F-CTION, CONTRACTOR!> OR 0l:JNER!> N,I..'1E h'lD
PI-tONE NUM5ER REQUE5T5 REC=IVED 5:cv:= 1,= h"1 WILL 5E MADE Tf.lE 5A'1E DAY, REQJ=5T5 AFTER 1,=
AM WILL 5E MADE Tf.IE NEXT WORKIN~ D.4 Y
EXJ5T~ euILl?I~ PE~~~ ~~f"'I. ( iF AFPLICt..9LE )
YOJR clrr DE5IGNA~D JOB NO. 15'1' q I ( '329
'* 5EE 500K
REQUIRED INSPECTIONS
[XJ
51DEWALK I DRIVEWAY
FOR ALL =NCRETE PAYING WIT;';IN
7~= STR:ET RIG~T OF WAy. TO BE
MtDE Ar"""TER ALL EXCAYATJNC;
15 ca-1PLEiE A~ J=O~ ~
.4'1D 5~5-5.45E M.4TERIAL 15
N PLACE
CUR!3 I .4PPROACf.I I-PRON,
Ar-IER FOR"<5.4RE ERECTED
5UT PRIOR TO pOJRIN~
CONCRETE.
D
:-:=e:
SIDEWALKS
CUR3-CUT
WALK x'
/ ""
t x' I.
" -.
$10.00 + $0.15/LF. ( X ) /80
or WALK
$10.00 + $O.l5/LF. ( X )
co:-tMERICAL DRlVEWAY5 5"ALL
"AVE S' TO 8' FLI-IR5
3'- 0" 5TA'IDARD
00
..-
$37
TOTAL FERl'1IT FEE:
I ;...l.l.VE CAREFULLY EXA"1INED i1-!E Co:-1PLEiED ~PPLlCAi!ON FOR FE~li, ..4'lD !)O ;...lER:9Y CERTIFY TI--IAi ':'LL
iN:=O~ATlON ~EREON 15 TRUE A~::> CORR::CT, :...~ I F'uRTHER CERTIFY TI--IAT .:..~y ~o...:D .ALL UJOR< PE~OR'"iED
S;';ALL 6E DONE IN .4CCORD":"'~CE WIT~ T~E ORDI~'lCE5 OF T~E CITY OF 5F'R1N$lELD, ~~D Ti-lE LAl.:.15 OF Tt-JE
STATE OF OREGON PERTAININ~ TO i~E WO~ DESCRIBED I-!EREIN, ..4'lD Tt-!AT NO OCCUP,L..'\lCY WILL BE M~E
or: ..4~y TRlJCiU~ WIT~OJT FER""iIS5IC7,\l 0:= TJ.-:E SU1LDING DlYI510'{ I FURT~ER CERiIFY IMAT ~L Y CO:--lTRACiOR5
-'-'ID.P };r~5 ~:;; cLlA'ICE WIT~ OR!> 101.05:; WILL 5E US=D ON Tf.lIS ~;~T'g- _ 9 I
51GSED . . '7/t
(./ ;:)A.iE