HomeMy WebLinkAboutPermit Sidewalk 1994-4-25
11~
.-
K J61PENTIAL - COMMERCIAL
. SIDEWALK I CUR6CUT .
- APPLICATION I PERMIT
22;' NORTf.I FIFTf.I STREET
SPRINGFIELD, OREGON <;\1411
ENGINEERING DIYISION
OFFICE NO. 121>-31;'3
INSPECTION LINE, 121>-311><;\
JOB ADDREe8. ~ ~ ft?A1/.&'
ASSESSOR!> MAP NO.*' /'/rz2~;2~ 3/
SUBDIYISION,
57
RECEIPT NO,
.'*
T AX LOT NO. </_
CA5f.I
Cf.lECK -,X..
OUNER, ./"Pf#~ #r~.:::.#
ADDRESS, /i9G',Aiu~ ,~V~
STATE, P/'.? ZIP'9~~~
SPRINGFIELD
\ fdlqr jL~
/~9$
'*
CITT, C./':": r'...'-'" Cf.lECKED FOR DELINQUENCIES -
Pf.lONE NObR€~ 3S/S
UJOf<K DEE)CRIFTION.
SIDEUlALK,...lt..- CURS SIDE SETBACK
CURS-CUT, -X- RESIDENTIAL _ COMMERICAL _
SECOND DRIVEWAT (SEE TRAFFIC)
REQUIRES APPLICATION FOR A SECOND DRIVEWAn'T-4.1.)
OR A COJNTY .I.PPLICATION FOR FACILlTT PERMIT (C <;l8-203)
IF IN THE U.G.B.
DATE OF APPLICATION V-.;:os:.~
~
SIC>NED,4~
DATE, ' r-:41-2"7'."9c,1
WORK TO BE FEFa=v"", I~D B.,..: O<lN:R k CONT~C,OR
CON'RACTOR*..~A1'.?~.:~-.4'~,. ~. REGIST~TION NO.~~O
ADDRESS .?.o. ~ $~. ~__ W"~.~ q/~V;aG
r,..........c:....URE FOR lNeFECTION REQUEST.
CALL 121>-311><;\ (RECORDER) STA,E TOUR CI7T DESIC>NATED JOB NUMBER, JOB ADDRESS,TTPE OF
INSPECTION REQUESTED A'lD lIJHEN TOU WILL BE RE.I.::>T FOR INSPEC7ION. CONTRAC,ORS OR OUNER!> NAME .I.'lD
PI-IONE NUMBER. REQUESTS RECEIVED B=~~"", 1,00 .1.'1 WILL BE MADE Tf.lE SAME DAT, REQUESTS .l.FTER 1,00
AM WILL BE MADE ,f.lE NEXT UJOR<ING DA T
EXPIRES, ::?~ ~
P;";ONE, ,~_ Y'Y4;?
*' SEE BOOK
EXISTING 6UILDING PERMIT NO. ( IF APPLICABLE)
TOUR CITT DESIC>NATED JOEl NO. Isf 79'~7~
REQUI~D INSF!:CTIONS
[LJ
SIDEWALK I DRIVEWAT
FOR ALL CONCRETE PAVINC> WITf.lIN
T!-IE STREET ~IG~T OF WAY, TO BE
MADE AFTER ALL EXCAVATING
IS COMPLETE AND FORM UJOR<
A"iD SUB.BI-5E M.l.TERIAL IS
IN PLACE
o
FEES.
SIDEWALKS
CURe-CUT
110.00 + ~O.1!:>/LF. ( >< )
OF WALK ~ I
......<~ ~s ~' ,,~Ye:>
TOTAL rco,"" ,IT FEE. ~ /6". o/t:' "./~~~
~JO.OO + ~.1!:>/L.F. ( >< )
~'
COMMERICAL DRIVEWATS Sf.lALL
f.I.l.VE ;,' TO 8' FLAIRS
3'- Oil 5TA'iDARD
CURS I .I.PPROACf.I APRON,
AFTER FORMS ARE ERECTED
BUT PRIOR TO POURINC>
CONCRETE.
WALK X'
/ ""
t X' I,
., .,
I ;..lAVE CAR:~LL T EX.I.'1INED Tf.lE COMPLETED APPLICA7ION FOR FERMIT, A'lD DO ;..IEREBT CERTIFT ,HAT ALL
1N""...oRMATION ;..IEREON IS T~E A'ID CORRECT, A'iD I FURT;";ER CER7IFT ,;..IAT A'iT A'iD .!.LL ll.iORe:: PERf'ORMED
S;..IALL BE DONE IN .I.CCORDANCE WITf.I Tf.lE ORDINA'lCES OF Tf.lE CITY OF SPRINGFIELD. AND Tf.lE LAUJ5 OF THE
STATE OF OREG, RTAININC> TO Tf.lE WORe:: DESCRIBED HEREIN, A'iD T;..IAT NO OCCUFA'lCT WILL BE MADE
OF AN~W!'€E ,f.lOUT PERMISSION OF Tf.lE BUILDING DIVISION. I FURTHER CERTIFT ,;..IAT ONL T CON,~CTORS
"-N~/; A - IN ~ OR!> 101.055 WILL BE USED ON T;..IIS PR~z;5h;.J
,.-. J '-. ..:::-'~ DA~' .
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