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HomeMy WebLinkAboutPermit Sidewalk 1994-12-29 II~ . ~IDENTIAL - COMMEiclAL ..:-w SIDEWALK I CURBCUT A~L1CATION I FERl1IT . 225 NORTe! FIFTe! STREET SPRINGFIELD. OREGON <;\1411 ENGINEERING DIYISION OffiCE NO. 126-3153 INSPECTION LINE, 126-316<;\ JOB ADDREe5: 42~7 //111-/J.J Sy; ASSESSORS MAP NO.* /7-02-32. -31 SPRINGFIELD ~~ TAX LOT NO: *300:> RECEIPT NO, \W77 CA5l-l 5USDIYISION, CHECK O.1.NER, ~TG'U2;;' ..(?tJ{.G' ADDRESS, 25"0 5(JU!7f 1-3RD STATE, ol2E, ZIP, 174-78 lJ..IOF:l< DE5CRIPTI~: I J/" SIDEWALK, ,/ cm-, 7/RIIJ~/cLf) Pf./ON: NO, 7;z&-ZICb '* CHECKED FOR DELINQJ:NCI::S -- CUSS SID:: 5:T9AC< _ CUREl-CUT,"/ RESIDENTIAL _ CO:-r.1::RICAL .A- 5:COND DRIVEWAY (SEE iRtJTIC ) REQUIRES A~L1CATIO,ool FOR A S::COND DRIV::WAYI'T-4J.! OR A COUNTY t.FFLICATlON FOR FACILITY F::Rl1IT (C <;lB-2/Zl3! IF IN TJ.1E U.c.,S, DATE OP A~L1CATIO,ool I?-/Z-:tdf- .SIGNED, DATE: WORK TO BE FERFv"", IcD BY: OUNER CONTRt.CTOR'* f"fRItMIO COJvSTJ2U~Tlt)N , ~~ E' ::.-r:. 5,PrE(lJ~rt'eC-D x CONTRACTOR * NO. 5~~ REc.lSTRATION ADDRESS ~ ~A4- r2./2-~ 4- ::XPIRES, f(/'2-/9S" PHONE, 7~-cr~ ,""'-"-c....URl: FOR INSR:CTI~ l'SQUEeT. CALL 126-316<;\ (RECORDER! STATE YOUR CITY D::Slc.NATED JOEl NU:1ElER, JOEl APDRESS,TYPE OP INSFECTlON REQUESTED A'lD Ul-lEN YOU WILL BE READY FOR INSPECTIoN, CONTRt.CTO!'15 OR OUNERS Nt.ME t.'lD PI-lONE NUMElER REQUESTS RECEIVED BEFORE 1;/Zl/Zl t..'1 WILL ElE MAPE Tf./E SAME DAY. REQUESTS AFTER 1,= A'1 WILL BE MAPE THE NEXT WOR<:INc. DAY '* SEE B()oK EXISTING: SUILDINc. FERl1IT NO. ( IF A~LICABLE ! YOUR CITY D::Slc.NA TED JOEl NO, Isf q 4 1 q 7 ( ~S(~tl\ (!..HA/JtEE- CURB-CUT pallle-tVA+- CUI28-<6T RP1'.oe.+ ff~). - oveR FRPIII EXISTlICko :f A~~ T~,~ Pe-,e;nrrref) WALK x 110.00 . ~0.15(LF. ( X )PRIIICtII4-hI0.00 . ~.r;Jf!PrMj{"J:: e:>POT / "- OF WALK 3~ '" 'M "- l x' I. 'I '. l'SGlUIl'SD lNeFl:CTl~e ~DEWAL!il.- I DRIVEWAY !'VI'< ",,-"C CONCRETE PAYINc. WITHIN TH:: STREET Rlc.HT OP WAY, TO ElE MADE A"TER ALL EXCAYATINc. IS COMPLETE AND FORl1 WORK A>oJD SUEl-ElI.5E MATERIAL IS IN PLACE D [K] FEEe. TOTAL Fl:Rt1IT FEE: $ I~Z5 COMM::RICAL DRIV::WAYS SHALL HAVE ,,' TO 8' FLAIRS 3'. 0" 5TA'lDARD CURS I APPROACH APRON AFTER FORl1S ARE ERECTE BUT PRIOR TO POURINc. CONCRETE. I r-l.t.\I'E .CAR:::."i=uLL Y EXA'1INED Ts-lE COMPLETED APPLICATION FOR PERMIT, ~'lD DO t-/EREBY CERTIFY Tt-l,l.T ALL 1N"'.-oRl1ATION HEREON IS TRJE A><D CORRECT, A'lD I FURTHER CERTIFY THAT A>oJY ""'lD ALL WOR<: PE!'l'O~D SHALL BE DONE IN ACCORDANCE WITe! THE ORDIN"-'lCES OF THE CITY OF SFRINc.rIELD, AND TH:: LAWS OP THE STATE OF OREGON PERTAINING TO TI-lE llJC>RJ<. DE5CRI9ED HEREIN, A""lO TI-lAT NO OCCUPA"'lC.,.... WILL 9E M.L.DE OF .ANY STRJCTlJRE WITHOUT PERMISSIoN OP TH:: BUILDING: DIVISION. I PJRTH::R CERTIFY 7H"-T ONL Y CONTRACTORS AND EMPLOYEES WHO ARE IN COMPLIA>oJCE WITH ORS 1"'1~" WILL ElE USED ON THIS PROJECT. Jiu~ alA ~ j),,-;)..Y-9f// SIGNED' DATE