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HomeMy WebLinkAboutPermit Signage 1994-6-30 . SIGN 'PERMIT APPlICATIO,. SpnlNGFIELD JO.BER_,_____gm9LO-. . 225 f-iftll Slr(~ct Springfield, OR 97477 Inspection Lille: 726-3769 Office: 726.3759 Ar~"P.V , TAX lOT: - {')N.~.n J OWNER: (,../Q. 1-,< PHONE: 7-Y'? - 79P' CITY: STATE: ZIP: 971/77 E 6)<-, I ,pm t:-A-I- , I BUSINESS NAME, FIRM E"'C,: DESCRIPTION OF PROPOSED SIGN(SI: (please check and complete all appropriate .informationl ~Wall Freestanding _ Projecting Roof Marquee i Single Face Double Face Billboard Other Square Footage: 75--- Total Height above Grade: /?/ Vertical Dimension of sign or enclosure: ,j- , h of sign or enclosure: I /S~ Material Sign is constructed of: / rr (If yes a P/.~.5//(, VALUE OF SIGN: CJO Dimension from Grade to bottom of Sign Enclosure: 3 j- 06. Y- , list All existing signage and attach a photograph of aach sign: (a) Type ?d I. L.. .$/.,..v Sq. Ftg. (c) Type Ill! A 4 L J/ofN Sq. Ftg. 8'CJI :fQ'1 (b) Type Sq. Ftg. . (d) Type Sq. Ftg. CONTRACTOR/INSTAllER: /YJ /l R Y//v ;:5/2 OS ADDRESS: PO, B t;:l X a"'~7 - .:s /4 /P..s PHONE: ::rJ'5t2. J 7 t 9 ~ CITY: .J:::::.Vfl/':::W/2. STATE: CONSTRUCTION CONTRACTORS REGISTRATfON NUMBER: C </ ~/ y' CITY BUSINESS LICENSE NUMBER: q ~\p ~ OFFICE USE o/?.~ ZIP: 971,2cJ z.....-... EXPIRES: ,=3 " 9' - 7' J~-L'l EXPI~~S: JP .:D ,y~ Sign DistrictI~ ~ Sign Permit Fee: rjf) CO land Use: D~()() Quad Area: \~ ~ l\ 1) Code Section: q - f") ~ ~ ~ ( '\') Approved BY:~~ \ 5&.WX lATE: \Q , \f,\ .C\4: ?~ninQ: (\(\ .. REQUIR:t~NSPECTIONS: Footing ~ttachment . . ,. J Electrical V Final to be made prior prior to placement after trsteners are prior) to energizing corrlpletion of sign ~ ::::,::::.:., ..,.:',::::.,::'0 ~O I';i';'h ~~n;;1:. \ ~ Qn~a\l~ ~ F-N '*') \ ~~ a t bu-.I' - Ji~1nJ} Q1):A'tP--J By Signa~re. I stale and agree, that I have carefully examined the completed apPli~:tion':d d~' hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project, I further 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 located at the front of the property, and the approved set of plans will remain on the site at all times during the installation of the sign(s). _ J II ' Signature J61..:)!-7?J, ~~ Data ~ - 1'1 ~ 9 'I " , , Receipt Number: I)()C{\ \ 0:J~w. \ Date Paid: \ /, lo l10'CfLf- Received By: 1'1\/ f'f!'>.---) Validation: Amount Received: '