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HomeMy WebLinkAboutPermit Signage 2010-3-24 225 FIrm STREET . SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 " I1REWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Pennit .S City Job NumberLl 0 -60 LtOb .' ...~: Job Location ?p'Pf\'S pizzp. PAHoA- J LfO/1 M"/~ $T.,. :spe]tJG-FiELQ&R q7L/78 .,~, Assessors Map / 7D Z 3 I 4\ Tax Lot oSs"c)O OJ ~ Owner of Property ..~. :;;;: ~ ~ City ~ d~ ~ ._-~' ; ~ ~; "IB I... \! .'E~i ~"'- j 1"-. - . ~J ""h-. ~( ~" Q& .... ...-....I~ 7i':.L>.....,.\ ~~t ,,~ ~..-~.. i: 0;. ~ -=-: ;;.,,;j~ ~,l ~. , ,- -., ~ IO..~ $ 'L ~~ .' /. " .' ':CITY OF SPRINGFIELlJ OREGON.' ". .... .' '. ' ", " Owner , . Pp.PFtS P 172 A PA-fl.Lo~ . M i l.(f: . . Address ~O/I MAiN SreEET sPr<.T1\..lC:rFieLD @ - !\lESe-,nT, PeESIDEI\.lT Phone S"-/ /~ t:,8~ - Z:2.3'7 9'1Lj1R State 6f2-. Zip Contractor/Installer Contractor we~TERl\i FiI2.El...U)l<.k~ I :ttJc..., Address ILfSClz 01TRwAY R.d"J 1\1.€.j P.O. P-dX.t..J2b Phon" 503-(C'7B- 231R City AIA..1l2DRF>.. State OR. Zip '1'1002.. Construction Contractors License # ~/A, . Expire. I\J I A . - B -.. ~/-' "JII " Description VI Nt.{ L A ~JlJEP. S AOl-€eTl511J&: I="lefU):)eIc:.~ t;. BAN J(CIl-eDs F\c('GPltD. Date of Installation Ol'o-15 - ZOIO 0'1-15 - Z.010 Date ofRemovai Permit Fee: $115.00 Permit is valid for 30 days from date of Installation 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) and/or portable sign(s) is not larger than 60 square feet. .1 ....J - _n'/ " ~ Signatur" :::. ~~ / wF'L Date .03 -2L.f -to Date of Application Lillo I ' For Office Use Job # C/O -0040b Receipt # Z.20( - D.sO b Ilj Issued By --,,~ Amount Collected Shared Drive (T:)fBuilding FormsIFireworkslChristmas Tree Banncr.Portablc Sign Permit 1-2010.doc It~,I~ r-' -' , - ~., .. ct ' ' >" 77/;t'/r:;; ~{y!'7t~f;jd 'Iz ,~~' ~ j"- I'" .<.1 Q ~ , '1:"" , ~ c-. ,~ ~";;"7r1 ~ ..i <> ( C-' ......' :.~. (r N, .. . _.. '.,' ~. J, ~ . " .----.......", ..... I L ! ...-~ ..., +-1(1 ... '--~ - i ~ ' ',' ... 2 ~^''' ~ <,. .A. --- h l ttl ~ ~ i , I/) ~ .~ 'vJ ::J. .J ... ,~ r,r :::{ \--.. 3 ~ ,~ uJ ~ 'D '- Y) Q ..... ",' ....1,..... 4- 1. ~ , <:(l -- - ~I I T ,~~ ~ Q . J-;- "', ' ~,; '" - ~i~ " c..'" (),,-,.."-.I ,': - ....)-.;. ,7 US -''It'lI.f\"3\1d, 01 ~ ) (l 'J'\ ('?i.3.:L'N,iI 7 cI J . ...._.._ ," 7/7 ~(Y13Q,/:: ' ..~ \ \ '.- \ ~ '\ ,'"1' \;..j ("~ (^.' _. ~" 1 .-~ \ . -:.-;..J. . ~ ,,-,_I :t: - g' )~- .\~ , -- ' , ~ ~ .... c:r- {f~,. ... ,~ ~. "'- t.,' t, '__.-I \ '_~'..~/EE ,:1 (-- . . " -L3.3<J..L!;' - Oh H.-L--no 5" . . '?f , ~ j r ,'i <; 77 'W.:L s ...I:)ftP/1-fd-t ,~ a V>G:l 2'- 'i'; ~ ~:z :='Q. o A.. :rt{) , , tV. Q .-....1 ~ "- .~ <:t N " N' 14 ..~-....... ~ r V) <:t '~ ~ ,~ ~ <>l~'" (f<f1 . (X) .... q-- ~ ~ .~~ .,l _ ,~~ Ct \"l.~'i'--1l> rf.' I'l ~ Vl ;s 78..LfYUlcl I ;n V ('1 3C!/> 225 FiftH Street Sp!,ingfie~, Oregon 97477 541~726~3759 Phone / &~a~.. ,...~lI\!,'ld~<C.~~.~~.~.....~~ ~' ."'. . .",- ~ ~ ~ "'.'. :,' ,. ,~..,.."...::..('..",....",. '." 4-." ',' ". "'t;:,1"'" ~i~' ,,\.,,' . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000306 . . Date: 04/01/2010 2:19:40PM Job/Journal Number COM20 I 0-00406 COM20 I 0-00406 COM20 I 0-00406 Payments: Type of Payment Check cReceintl Description + 5% Technology Fee ***+ 10% Administrative Fee*** Banner Special Permit 'Fireworks - 30.0000 @ $1.0000 , + 5% Technology Fee (BusLic) - 30.0000 @ $0.0500 Paid By WESTERN FIREWORKS lNC Check Number Received By Batch Number Jjb 21961 . '?~tI .:.+ "vi;,. fl"t:!, :ft~"J'i . .I,d,}, . " ~]~\:~l . >".'" . ",,';' ""1"" :{1;,r. ' p" t.I" ;}"'> "\ Page I of I Item Total: Authorization Number How Received Amount Due 5.00 10.00 100.00 30.00 1.50 $146.50 Amount Paid In Person Payment Total: $146.50 $146.50 4/6/20 I 0