HomeMy WebLinkAboutPermit Signage 1999-7-16
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6/24/99 12:47PM;
.Jun-24-99 12.,25P J.~~ . ~
SIGN PERMIT ;ppi.IC'm~~'
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-> ULTRANEON
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SIGN CO;
Page 3
Received:
225 Filth Street
$j'lIinuflCld, OR 97477
lOCA TlON OF PROPOSED WORl<, ~""1 C
ASSESSORS MAP, I{ 0 3 as 0, I
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JOB NUMBER QQO'f51-_
Inspection Line: 726.3769
OUice: 726.3759
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tAXLOt"
_ PHONE, (6' +0
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<J.fl';- 471!.......__
OWNER, Me. 1< ~~ .:rt\V""+m~""i'"
ADDRESS, _"t.itC.c t!J4. J:' rn 611 T- w.. '"
City, Euc:-.,.., ...
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BUSINESS NAME, FIRM ETC.:
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F=AG/",e '"
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StAtE, ~1Z."rD..J
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ZIP, _C) 7 'f-c /
DESCRIPTION OF PFlOPOSEO SIGN(SI: jplease check aM Complcle aU tlPproprlate informarionl
e i,IS+ in':'
__ FreestandihQ
_~Wall
_ Plojecting.
Roof
MiJrQuee
Single FiJCtl DOuble Face
SquClre FoorllQC: ~:1. p __
I
Vcrlical Dimension of sign or enclOSure: ..3
Billboord Othf!r '___'._ _,_._
T~tnl Height above Grade: ..1 tq J._ _._ _
HOrijfOrlt81 Width of siUIl orenclos\.lre: ~~~~.~ _
Dimension from Gradtl I C I
10 bottom of Sign: N1.
Electrical Ins lallation: Yes No
Ilf yes additional permitTs reQuifeCii'"
MalIHi,,' Sigu is constructed of: S'h.,. e+ /'Y)e..+ tttJ.
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VALUE, :1 P-t> e>~~~_
,
Un ALL e)(isting signage and attach a photograph of each sign:
1" Tvp, rn,~C"~!:. F~ 4-6 ~ Ibl typo
Ie) Type SQ. Frg. laI Type
Sq. Flg.__
SQ. FlO.
CONTRACtOR/lNSTALLER, /l/~n.'Md S,!o<J La
ADDHESS, db? a..~lu...:ti:.d~
C,ry, S4..J. ~., " __..__ __LStAtE'~~.._ ZI?'_'..2.}~ ~
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<:ONSrRUCtlONCONTRACTORSREG'STAAtlON NUM"ER'---%_.,~...L~Lr (" ~.: )_EXPIRES', ~ ..1...::... ~,I ,~ ~
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CITY BUSINESS LICENSE NUM~EFI:
____.....~ .EXPIRES:
Sigl1 OistriCI:..co~lI\A..L~1..ot /J!JVK-
Zooio" (l {l (\
Sign Permil Fee4t"'R'D .
OFFICE USE
Land Use: S' ~ 0 0 Quod Area:
C,d. Section, <g.:t II- ~ ( 1'\
APP,ovcd By, _~ Lu~
1 C-k,) 0
DATE' ......1.:...!.3.=.h..
REQU'RED INSPECTIONS,
__Sileo
[U bO ma9c prior
to sign j)lacemenl
Footillg
prior 10 placement
ot concrete
~ttachmont
ai'te;:-;asteners 8re
installed/prior to cover
_E1ect/ieal
prior to energizing
~n"
~Ietion 01 sign
ins lallation
^d~itiOl1l1l CommentS and/or Conditions:
By sign:UUfe, I sune llnd agree, thai I hllvo carefully e)(ami/\ed 1he Completed llPplication anti do hOrebv certify thOt all inlormlltion Ilertlin
IS true and correct, [tnd I further certify thaI ony and all work ptlr10rtned sh(llJ be done in aCCllrdance with tho OrdinO(lCtls 01 \he City (II
S~lingfield, and the lows of 1he Stllte of Oregon pCr1ai(ling to tho work described horein. I funher certify tn.t only C01\traC\Ors nnd
cm~lovC!cs whO are in compliance Wi1h ORS 701.055 will be used on this project.
I furthcr al,ltee 10 ensure that all required inspections are requeSted Olll1e proper time:, that projeCt llddress is rellCloble trom (tUt streol, lhill
lilt! permit card is located ot lhe front of the prOperty, and the approvc-d setel alamo will rem"in on the site at 811 times during Ih" instnllation
0' the sign!s).
Sion""rer ~ .ft.<.~ 0"0
V"ridation:
Amount Received: <:/t;'{{ tJ .
Receipt Number: .3 tf t 0; c:(
Date Paid:
Received By:
7- /Ir C; 'f
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