HomeMy WebLinkAboutPermit Signage 2010-12-10
225 FIITH STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
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 re uest an inspection to verify the removal of the banner(s) and/or portable
sign(s), This inspection . e in the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) e re ved. .
Date of Installation
Date of Removal
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TRANSACTION RECEIPT
811-SPR2010-00898
1402 MOHAWK BLVD
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010001047
RECORD NO: 81 I-SPR2010-00898
DATE: 12/15/2010
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224-00000.425602 $100.00
100-00000-425605 $5.00
224-00000-426605 $10.00
TOTAL DUE: $115.00
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Banner, Portable
Technology fee (5% of permit total)
Admin fee (10% of applicable fees)
Check
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$115.00
$115.00