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HomeMy WebLinkAboutPermit Signage 2010-11-9 Q o . . ..:.J' 00 -~ > -- o 00 ~ o -- >- ~ (j.) ~, >". '~: .~. ~" ~: ~. o Cd D~ ...... -~ (j.) ~, ~ 0Jj, . l="9. . Q:Q, (Ui ~ ...c>., ~,. ~, 0; ~: --.",.- ~: (l): aj -,' QS; '-. t SIP'RI~) ll~ ~<-J :':t~~_~"_,D:~':i:" -: ", '.,~:~:f.~~~~it 225 FIITH SI'REET . SPRINGFIElD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 llREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Pennit City Job Number .$ f>d.e~( C-C':I G 70 Z Job Location r;1l-r~tUo/ 1lJ1f'-L '2 77 0 Q/Jt---ew4y Sr - YR;A;(jF/~, ae. - '97,/ 7) Assessors Map \ 10'3 -Z 2' Cs c..:::" Tax Lot () 2' 30 G Owner Owner of Property C;~p- ~ffEtv4i ;/J/9-u- A ,J...(!.. -,,(/RLS7i~d-~i!. _ ctJm~v /HZe'1 &URLYZrl-'rtJ~ Address j3cJ t90 &:#rEi/J1j 5-T/:!.B=-r PhoD" /-SL//- 71/7- 6 ~y City ~PR/~Fi~~)) State ~;t Zip '17'1-77 Contractorllnstllller ~ /I, I " -n Contractor ;1f/c: /J ') L-fI-,t!Q;@ 7J-S ~ec---.::;;. , Address c2 ~O I fez; f!..t -/9- SrR ee-r Ik /LtJ ~ Phon" ~3-3~6~~C/ t?c:;-V /"0 City State (lo Zip Construction Contractors License # IJIA Expireo D .. 7 fi77 p tf ' X' f I P)..<-MtJ~ escnptIon ,L.:- Date of Installation /)- ;J..,/- /0 Sc/)&7J /.?----31-/o ;s;.~AJ '-;Z Date of Removal Permit Fee: $115.00 Permit is valid for 30 days from date ofInstaUation 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 po~ble sign(s) is not largertJ.um 60 square feet. _~/4;t/ I~ ;3 d-' s.B. ;::'/ {. ~/-,,(jtv()tJj) Win+- McJ!o'1 ~R1S(/I171-5 /;('e:-c":::' tl /l..J .-Lr, /!-771Ie.J/E:D () Pi}AX;E --J Signa~;td0~~ /ltr!-{j'-t' ( Dat" /1-9-/0 Date of Application / (It z.;lo For Office Use Job# SIO -0 ~ 70 g Receipt# 701V- ~I <J liS - Issued By b(! Amount Collected Shared Drive (T:)lBnilding FormsIFireworksfCbrist Tree Banner-Portable Sign Permit 1-2010.doc www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00708 2770 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@cLspringfield,or.us RECORD NO: 81'-SPR2010-00708 DATE: 11/12/2010 RECEIPT NO: 20 I 00008] 9 '.J LDE~CRIPTION~"-,,;'-"-:' . :,:....,;; Banner, Portable Technology fee (5% of permit total) Admin fee (10% of applicable fees) CPAYJ~j:NU.'(EE'. ,-.: P.A'iOR.' Check 1161 . .... ~';.-- - -'.", :.:3.;'= ',' 'ACq~U:N:r~C.o[)E~_'" :iAM6ou~~tQl.IE'- :" 224-00000-425602 $100,00 100-00000-425605 $5,00 224-00000-426605 $10,00 TOTAL DUE: $115.00 :.cAst'iIER-DI'OWLSBY;. '0 "CQM.r.jENis.f:~--..:':'''--::_~-''_-' ;; :-,AMOUNT PAID'- - -:. --, $115.00 mccoy christmas trees $115.00