HomeMy WebLinkAboutPermit Signage 1981-5-5
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ISFO~~TIOS: 726-3753
CITY OF SPRINGFIELD
SPRINGFIELO. OREGON 97477
CITY OF SPRISGFIElD
SIGS COSSTRUCTIOS AND ELECTRICAL ISSTALUTIOS '"
LOCATIO.' OF SIG.'(ADDRESS) 40:;:)4 ~~;;IgP~CATIOS/:E~'llT" c'. 'M. . ..
LEGAL DESCRIPTION ~- ~ \'IDL-,'7fJ!) 4~TAX lOT '7()fJ. ~
OIINER OF PROPERTY E L.EAl ~I;J w, ,PHONE~~fo-5't73' ~O'
ADDRESS 4tA 7_ n/]A I f.J &T't SPl<: I~-:Ft f-I () ZIP ~
OI'~ER OF SIGS(IF 011JER TIlA.' PROPERTY Oh~ER) 'RICIL ~A.Al2TI1.Jl!..A 1_
ADDRESS 4i.rJf'-Y..I. MA//J. ~T. PHONE 747-~p-" '\ 0
NA.'IE OF BUSISESS. FI~'I, ETC.AUm'W!O~ SPUC/ALflE;:<, TYPE OF BUSINESS~'7TTI'rJr.JI{ ~J.l2...1
I~;PECTIOS REQUESTS: 7l6-3~69
TYPE OF :~'ORK:
J:; ERECT
RELOCATE
ALTER
Ol1IER
TYPE OF SIGN:
11ALl
l:iJ ROOF
MARQUEE
Ol1lER
FREESTANDING
PROJECTING
READER BOARD
BIllBOARD
SIGS ClulRACTER
?< IDESTITY
PROJECTING
INCIDENTAL
DOUBLE FACE
(CHECK APPLIC.\8LE ITblSl:
NON-IDE~TITY
SECOSDARY
~. SINGLE FACE
':lnJlTI-FACE
SIGN HA,'UFACTURE~ (IF OTIiER TlLoI.. ERECTOR)
ADDRESS
VESDORS. COm..ICTORS: L/Tl]...t, Tr;M\-(LS .\ Il~1\
SIc;.: ERECTOR '~I.TTI .~ T-oJ. ',liS S I ('-:'1\Jc.
ADDRESS g."i7~ ,:::rAf'K,yl!/ L IjAII P1f~, PfJ!~NL
CITY LICE~SE ~/r.olBER f31)()~{''JLp
$An~
SM'ltt:: _
l\.iOJdr::-. t<f-;(lO.
.. '"
PHONE f.n9J7 - q 1'2.:2...
/."
EXP. DATE
ELECTRICAL CO~"RACTOR
ADDRESS
PHONE
PHONE
,LICENSE NIDIBER
DI~IEXSlm;s. IXSV,LL-\TIO:-: ,\.'W CQXSTRUCTION INFORH.\TIO~:
TOTAL HEIGHT ABOVE GRADE 11.0'
VERTICAL DDIENSION OF SIGN .fY H~'lIZONTAL WID11J OF SIGN 191/
.9/ 11JICKSESS OR DEPm OF SIGN .~ / to · 2>
DOES SIGN PROJECT BEYOSD PROPERTY LISE YES & NO IF YES, DI~IENSION BEYOND PROPERTY LINE .' Q
~OTE: IF PROJECTION IS '.:ORE TIIA.. 12" OVER PUBLIC PROPERTY TIlE SIGN ERECTOR ~lUST FILE 11lTlI THE BUILDING DIVISION COPIES OF . DS
HIS PUBLIC lIABILITY A.'D PROPERTY DAI~GE INSU~~CE POLICIES.
WILL SIC.. HAVE ElEcrRICAL IHRI~G? _YES 2SJI0 IF YES, WHICH APPLY! _ElECTRICAL SIGN ~ILL[R.IINATED (INDIRECTLY LIGlfTED) b
DESC~ISE TYPE OF u_'TE~IALS SIG~! ts CQ'!ST?!JCTED OF- '.i'!~', j'i'1~-:,-;,~:-t.' .1'" ,.:...,~ ~.-A:~~ I h (111lE"J"1lrL\ t..l
TIARF1if ~.~{-, WO/UL - ~r,Ul:::. i~A" S'MfJeE1lA.C: O/J,;t.t-:(. i' 1
PROVIDE UL NUMBER IF APPLICABLE -' VALUE OF SIGN II $ CX.J~ .
SITE INFO~'~TIO~ (LA.'D USE) --EXISTING USE OF BUILDING OR LAND (OR LAST USE..IF VACANT): ;D.a/ro -&In 1 Qi?p~
SBno n
DWE~S!ON' FRO:-I GRAIi[ TO BOTTOH OF SIG~
PROPOSED USE OF BUILDING OR lANO:
!V.J.:n 11.1 <., A<.: .A'P,()Vt'-.
. CHECK ONE IF APPLICABLE: ~INIlOOR BUSINESS _OlTTDOOR lIERCHA.'DISING
EXISTING SI~S (S;C.. CODE): ARE THERE EXISTING SIC.'S? ~VES NO IF YES, DESCRIBE ALL EXISTING SIGNS FOR BUSINESS, .
m~. ETC. :_J eJ\ fx')(1.;gu:: <;; I ben F~ $TArvlo 1.1\iq . ~ >j.P/ l.:hf:lO ~ibi..I':'\JJ..t:i()~ Mb.J2.t~
_jPA 4',?< /7' x.5LIv-,'" fr'tYl '\Ihr(.l A'fTPCf1m(O l2>U')P, ~~, IN~Oo...J .:, .'
l!::Pr f).'K4' IrJTF'lQ/(JfZ.. Lii '" I hN , fYJlffil.f. y:::Meh .
ALL EXISTING SIGNS ON PRE>llSES(SA.'IE TA.~ lOT): ' XtLJ,..n.1~- A-f ~(')vF'~
I HAVE CAREFULLY E~\IINEO the completed application for permit ~nd do hereby certify that all information hereon is true and
correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance. the
Uniform Sign Code as adopted by the City of Springfield and all other Ordinances of the City of Springfield and the laws of
the State of Oregon pertaining to the work described herein. I further certify that my Sign Contractors License with the
City of Springfield is in full force and effect as required by Springfield City Codes ~2~6Jl~1 and g-'-20(21. .1 will request
.11 requued $lgn inspectio~sted on the approved pemt. '.I!~ 7~1. S~" .." t /.
NAME(PlEASE PRINTd~f1T1.t; lDJlj5. ~t-/V~ SIGNATU~f23~ r'-:/~;T' ': 1.'f.:"L!::Y ~nDATE.!t 2..1. Rt
FOR OFFICE USE ONi:: _ -t"~. _ _ -', ~
SIGN DISTRICT (,OJ1'l.n\.lrr-'l:c~ONE DISTRICT ,.- - 0 A .\~ ~(CN:;;/'tUO lft1.iZJ Ui9-:;{-
INSPECTIONS REQUIRED: _SITE/lOCATION _FOOTING OR ~IETHOD OF Arr~CH.'IENT _E 2l ~FINAl I _OTHER
I
FEES:
SIGN PERMIT:
$5:00
ELECTRICAL PERlllT:
CHARGES:
OlARGES :
STATE SURCK4RGE:
TOTAL FEE FOR PE~\IIT:
%:00
QD5~5'BI
.5c:'130 .
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