HomeMy WebLinkAboutPermit Signage 1996-10-3
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SIGN PERMIT APPLICATION
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JOB!BER '9(; IO<~"
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Inspection Line: 726-3769
Ollice: 726.3759
TAX LOT:
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OWNER:
PHONE:
71t/- 6'!O-t.? Clot)
ADDRESS:
CITY:
STATE:
ZIP:
Cf.!?&>66(
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BUSINESS NAME, FIRM EtC.:
DESCRIPTION OF, PROPOSED SIGN(S): Iplease check and complete all appropriate information)
:..J(. Wall
L Single Face
_ Freestanding
_ Projecting
Roof
Marquee
Square Footage:
Double Face
I:/?d
Billboard Other
Total Height above Grade:
18'
Vertical Dimension of sign or enclosure:
S ' hi/IX.
Material Sign is constructed of:
-/sl/,p'
f:;tft3l;;r /J? tff/H.. -
Electrical Installatio
(If yes additional elect' al
,dth of sign or enclosure:
:KJ 'Pf~,
Dimension from Grade
to bottom of Sign Enclosure:
VALUE
OF SIGN:
~~OO\!!:.
1I(!1!4f{/e, - A.J~
it
List ALL existing Signa~~ and ottech 0 photogroph of eeC~SI .
, (al Type Sq. Ftg. (b ype
Icl Type Sq. Ftg. I Type
Sq. Ftg,
Sq. Ftg,
CONTRACTORnNSTALLER: ml1-t2:lin J.3~.5
ADDRESS: ,;:)()t/ ft?1Tt3l2&J71 St.
CITY: Wt!..eAu.
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CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
~
PHONE: 3'fd-/7b9
STATE:
6L/6;8'
(9.,zetf/'Y7 ZIP: Q1VO"2-
EXPIRES: 3/":;:?-- ~ ,q ,q,
EXPIRES: ~ (ofgJ/q'l
CITY BUSINESS L1CENS~ NUMBER:
Q;X;3 ~b
Sign Permit Fcc:
OFFICE USE
land Use: 5~() Quad~ea:
Code Section: 'I Pr~7~'!~'J
Approved By: ~l ,~J:~)
\~J\llJ
Sign Dist~ict:~{(\1nJl....
Zoning: ~
~~p.J
DATE: ~.qy,
REQUIRED INSPECTIONS:
, Site
..,.. to be made prior
to ,sill", placement
Footing
prior to placement
of concrete
v/
Attachment
after fasteners are
Installed/prior to cover
-1.l..-. Electrical
prior to energizing
electrical Installation
_, V Final
completion of sign
Installation
,
Additional Comments andlor Conditions:
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By ,signature. I state and agree. that I have carefullv examined the completed application and do hereb'( certify that all Information herein
Is true 'and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of
Springfield, -and the Laws of the State of Oregon pertaining to the work described herein" I further certlfy.that only contractors and
employees who arc in compliance with ORS 701,055 will be used on this project.
I fulther agree to ensure that all required Inspections arc requested at the proper time, that project address is readable Irom the street, that
the p,ermit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the Installation
of the 'siOnls).
Sign8tur~
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Amount Received: V\ f'\ {J.J
Receipt Number: ()~~c.o(// I
Date
Vj ~ Zo- pt/n
ValidatidO:
. 'I"
Date Paid: i 0 - 3 - q &7
Received By: (\. - (Y)r~CJ.,6-e'-'O