HomeMy WebLinkAboutPermit Signage 2010-10-21
ZZ5 FIrm STREET. SPRINGFIELD, OR 97477, . PH:(541)7Z6-3753 . FAX: (541)726-3689
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$202.00 including $100.00 Deposit and applicable fees.
By signatnre, I state and agree that I have carefully completed this application and hereby certify that all
information herein is true and correct. [further agree and understand that the above described display will be
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removed within fourteen (14) days from the date listed as the date of installation above. If the display is not
removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special
permit can be issued only once 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 display. This inspection
will begin the process to return the $100.00 deposit ifthe display has been removed.
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CITY OF SPRINGFIELD, OREGON
225 Firm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54 ])726-3689
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Permit Fee: $225.00 including .l!~\!:Deposit and applicable fees. / / J
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, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special 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 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
P~rtabl~lgn s a been removed.
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TRANSACTION RECEIPT
811-SPR2010-00559
2053 LAURA ST
CITY OF SPRINGFIELD
225 Fifth 5t
Sprlngfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECORD NO: 81 I-SPR2010-00559
DATE: 10/21/2010
RECEIPT NO: 2010000637
l!iES-CR!PTION~'"'";fee- .';;'4 "e.
Banner, Portable
Blimp, Balloon, Searchlight
Admin fee (10% of applicable fees)
Technolo~y fee (5% of permit total)
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:;', ;T,..,"jlZ r~-' :;v:: :"ACCOLJNT'CODE""""'; ".',;~AM6uNT DUE;- '\
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224-00000-425602
224,00000,425602
224-00000-426605
1 00-00000-425605
TOTAL DUE:
$100.00
$80.00
$1800
$9.00
$207.00
, AMOUNT-PAil5":;V;i7#,;b'+';" ;
I" PAYMENT TYF!Eh' :;. PAYOR. ,',t, pi!lHIER DSq:wtSSy,""lh'cbrilMENJ,S't .t,.:.
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Check
53244
the northwest constant garden
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$207,00
$207.00