Loading...
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