HomeMy WebLinkAboutPermit Signage 2000-4-6
. City of SP~ingfi~
Voucher
Report 10: SPRA103
Voucher ID: .00014608
Handling Code: RE
Vendor Number:
Voucher Date:
Invoice # :
0000004091
Apr 06, 2000
4-6-2000
Stacor Company
1811 Pioneer Parkway
Springfield, OR 97477
Approver :
Operator:
Puent,David
WILS5940
Gross Amount:
200.00
Descriotion
Account Fund Orq
SubClass
BY Proi/Grant
Amount
Banner refund
215500
821
2000
200,00
Comments: Banner refund for 1912 Mohawk & 1811 Pioneer Parkway
on receipt number 94
.
.
BANNER PERMIT
COMMUNITY SERVICES DIVISION
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726.3689
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3753
INSPECTION LINE: 726-3769
Banner Location: j(;5/ / ~~A!&Y !?-)..I,,<A/
Assessors Map#: . /163 t/.(p).. 30 / q~
Owner of Property: aM I6c /;: c, tf)/ c/) .
I
Address:l9// J}//,kZ/ #4-// F
City: _ ~J'j>>j ;$/-1 /
Contractor/Installer: ~uIF I/c~
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. ;-
Tax Lot
State:
Phone#: 7#-/4?qL
a;Z Zip: 97'0
Address: J~J/ a/'/~j/
City: "3/Jr/JIAL..J~
;-./ .
Phone#: 7/oj/-/Cpq/
~ Zip: 97~
State:
Construction Contractors Registration Number:
Expires:
Description:
&:;.I~H~/
Date of Installation: 41/,;r9'7
Banner Permit Fee $40.00
Date of Removal: ~\~ 10. J..~
Deposit Required $100.00
By signature, I state and agree that I have carefully completed this application and hereby certify that all
information herein is true and correct. I further agree and understand that the above described banner (s) is not
larger than 60 square feet, and will be removed within 14 days from the date listed above. If the banner(s)
is not removed within the timeline specified, I will forfeit the $100,00 deposit. I also understand that this spccial
permit can be issued only twice per calendar year per development area, I also agree to call the inspection line at
726-3769 by the end of the 14th day to request an inspection to verify the removal of the banner(s). This inspection
will begin the process to return the $100,00 deposit if the banner(s) has been removed.
~ '7 dL---
Signature
#tJ tJ 7/r;CJ
Datc { , I
----~--------------_..---------------------------------.--.------------.----------...-.-------------.---------------------_.---------------
Date of Application: I d - d-I - Co",.,
Issued By: cKl ~
OFFICE USE
Job #: qq (( (L/-
,
i1 \4-0, -
Receipt #:
Amount Collected: