HomeMy WebLinkAboutPermit Signage 1996-12-17
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~~I_f PERMIT APPLlCATlft
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
eNUM.BER
Inspection Line: 726.3769
Office: 726.3759
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SITE ADDRESS:
TAX LOT:
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OWNER:
PHONE: 50-3> -u[} 1- Oqt..o I
CITY:
ZIP:
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DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate information)
IX Wall ) _ Freestanding _ P'ojecting Roof
(X~~
Marquee
/J., I ;u7ble F.ace Billboard Other -/ H' ')
Square Footage: I;"" ~ Total Height above G,ade: ( q1/
Vertical Dimension of sign 0' encl~: If). L/ '~ Horizontal Width of sign or en:oswe:' / (0
Dimension from Grade (I "I ) ~Iectrical InstallatiO?~ _ No VALUE Y1 or-- 00
to bottom of Sign Enclosure 0\ ~ (If yes additional elect.ical.pe"'~it is requiredl OF SIGN: 1")\ ()~) L
Material Sign is constructedat1..!..vrnrillL{ '/IILtI'hi n~krl PM C-mnneLifJjw<; ~~~~
list ALL existing signage and attach a photograph of each Sign~ 'I
lal Type Sq. Ftg. l::,b~ Sq. Ftg.
leI Type
Sq. Ftg.
Id) Type
Sq. Ftg.
CONTRACTOR/INSTALLER: mW-+1'A I ~~
ADDRESS "d-nl\ Sew..v>&Y\ Si'
CITY TJ j CUNLe J
CONSTRUCT~~)N CMTRACTORS REGISTR~TION NUMBER:
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PHONE 31.G--1I(rf1
STATE:~1Vl ZIP:
5:51(' ."11 ~ EXPIRES:
EXPIRES:
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/0 -'1~
CITY BUSINESS LICENSE NUMBER:
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Sign District: (If) ~ (110
Zoning: (Jjf ..;
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OFFICE USE
land Use: l?:?OO Quad A,ea:
, Code Section: ?(--1 -- I ~ (I )
Approved By: Il,.,. ~
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Sign Permit Fee:
DATE:
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REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
:x: Attachment
after fasteners are
installed/prior to cover
;( Elec~,ical
prior to energizing
electrical installation
X Final
completion of sign
installation
Additional Comments and/or Conditions:
By signature, I state and agree, that'l haye carefully examined the completed application and do he'eby certify that all information he'ein
is Hue and correct, and I funher certify that any and all work perfo,med shall be done in acco,dance with the Ordinances 01 the City 01
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
employees who a'e in compliance with ORS 701.055 will be used on this p<oject.
llurthcr agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permIt card IS locate =zthe f nt of the property, and the approved set of plans will remain on the site at all times during the installation
01 the s'gnls). . ~
SIgnature . /' {~~ Date /2-/9 /tt~
,,- ( /
Validation:
Amount Received:
<S ~ 2-D
-
Date Paid:
Receipt Number:
'L./.t? 7 ?
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Received By:
/2...-/7-1"
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