HomeMy WebLinkAboutPermit Sidewalk 1993-1-22
225 NORrH FIFTH 8TREET
8PRINGFIELD, OREGON ~1411
ENGINEERING DIVI810N
OFFICE NO. 126-3153
1N8PECTION LINE, 126-316~
RESIDENTIAL - COMME~CIAL
. 81DEWALI< I CUR6CUT .
- AF'R.ICATloN I PEI<MIT
SPRINGFIELD
III%>
JOB ADD~&&. /9..2t:/ O/vmp,c- S7'
Ae8E8eoRe MAP NO.. / 7 .: 03 - z.. S- TAX LOT NO.. 300
RECEIPT NO. 007 ~ 10;-
CAeH
eueDlvl810N.
CHECI<
I,;-
OJ.NER. -;:72,pvc/E.es ;P.e....../lyo
/6a7 JlAttEY ~II/EPclmll/c !5UtbOJc
ZIP, 97401 Pl-lONE NO. c..R?>-~6
ADDRE88. ('& c../ 0
. ,r,
.
CHECl<ED FOR DELINQlJENCIE8 -==
8T ATE,
CJ ,eG.&aJ
WOl'!K DE6CRIPTION.
81DEUIALJ<, -X- CURe 81DE ~
CURe-CUT. RE81DENTIAL _
8ECOND DRIYEWAY (8EE TRAlTIC )
REGlUlRE8 APPLICATION FOR A 8ECONP DRIYEWAY("1'-4.11)
OR A co.NTY APPLICATION FOR FACILITY PEI<MIT (C !\8-2<Z>3)
IF IN THE U6.e.
8ETeACl< _
COMMERICAL ..x..
DATE OF APPLICATION
/- 22-13
8IGNED,
DATE,
i1ve.. ~
/-22t2. "7';;
CONTRACTOR ·
x
-rI2AlJ~~~ J2.EALTY
"3A-M e- I1f-5 iJ.-&;7u5
OJ.NER
~ CONTRACTOR
.
REGI5TRATION NO.
EXPIRE8,
WORK TO BE t=eFOif'v~ II:D BY.
ADDRESS
PHONE,
.--.......=-JRE FOR IN&Fl:CTION ~QUE&T.
CALL '26-316~ (F<ECORDER) STATE YOUR CITY DESIGNATED JOe NUMeER. Joe ADDRE88,Tl'PE OF
INSPECTION REGlUE8TED AND lU-IEN YOU WILL eE F<EADY FOR 1N8PECTION, CONTRACTORS OR OJ.NERS NAME AND
PI-lONE NUMeER F<EQUE5TS RECEIYED eEFORE 1,<Z>c> ,.1M WILL eE MADE THE SAME DAY. F<EQUESTS AFTER 1.<Z>c>
,.1M WILL eE MADE THE NEXT 1llORl<.ING DAY
· SEE ElOOI<
EXI5TING 6UILDING PEI<MIT NO. ( IF APPLICAeLE )
YOUR CITY DESIGNATED Joe NO. Isf r 3~?6
~QUI~D INSPECTIONS
~
~
IDEWAL I DRIYEWAY
~-AI: CONCRETE PAVING WITHIN
THE 8TREET RIGHT OF WAY, TO eE
MADE AFTER ALL EXCAVATING
18 COMPLETE AND ~ IIJORI<
AND eue-eA5E MATERIAL IS
IN PLACE
D
CURe I APPROACH APRON.
AFTER ~8 ARE ERECTED
6UT PRIOR TO POJRING
CONCRETE.
FEES. 51DEWALKS CURB-CUT WALl< x'
,
.10.00 . ~.1!;/LF. ( X ) 7, .10-""0 . ~.15/LF. ( X ) / "'-
OF WALK
COMMERICAL DRIYEWAYS SHALL I- x' 1-
HAYE 5' TO 8' FLAIRS
t Z / , 25' 3'- <Z>' STANDARD "
TOTAL '-i:~ ,IT FEE.
"
I HAYE CARERJLL Y EXAMINED THE COMPLETED APPLICATION FOR PEI<MIT. AND DO HEREey CERTIFY THAT ALL
INFOI<MATION HEREON IS TRUE AND CORRECT, AND I RJRTHER CERTIFY THAT ANY AND ALL 1llORl<. PERFORMED
SHALL eE DONE IN ACCORDANCE WITH THE ORDINANCES OF THE CITY OF SPRINGFIELD. AND THE LAW5 OF THE
STATE OF OREGON~RTA NING TO THE IIJORI< DE5CRleED HEREIN, AND THAT NO OCCUPANCY WILL eE MADE
OF ANY STRUCTURE. WIT ,T PERMISSION OF THE 6UILDING DIVISION. I RJRTHER CERTIFY' THAT ONLY CONTRACTORS
AND EM~ lU-I Jj!0N COMPLIANCE WITH ORS '<Z>1""'5 WILL eE USED ON THIS PROJECT.
~c:r/( . tL- . /h~~;?
SIGNED . . DA~ t' .