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HomeMy WebLinkAboutPermit Sidewalk 1991-5-28 "ltl~ RESIDENTIAL - COMMERCIAL 22:' NORTI-l FIFTH STREET . SPRli'GIELD, OREGON ~1411 ENGINEERING DIYISION OFFICE NO, 126-31:'3 INSPECTION LINE, 126-316~ SID:ouJALK I CUR9CUT t.PPL ICt. Tlo.-J I PE!<l'1IT . SP.~,HI,NGFIELD " .' I . ~ OF-" .:_~.t.~-,... ~..VI ';09 ADDRES8. Y} ILl 0CiJttS G! oN , ASSESSORS MAP NO,* II n?-, ::YJ t:l4 T.:.x LOT NO, *n4YiJ 5USDIYI~I01JI: O.l.NER. M(YY J1r11 JP Yl. " ADDRESS, I t:::7q n ~ K'1Z.AJ STATE, t:f~ J,qUUL ZIP, t.:D.J.. "-lORK DESCRIPTloI-U RECEIFT NO, /10 I ~/ CAS+-! C!-!ECK CiiY: 'I; C!-IECK::D FOR DELlNQJENCIES _ P:"';~ NO. 5ID:=I"I' 1 1"". CURS SID:: _ S:ieACK _ CURS.CUT, ~ RESIDENTIAL _ C:::>,y,=RICAL _ SECOND DRI UJA Y (SEE iRt..'-rIC ) REQUIRES A LICATlo.-J FOR A SECOND DRIVEUJt.YI'T-4,:.) OR A CO'.JN APPLICATION FOR FACILITY PER"OIT (C 'OS-,C3) IF IN n-IE U.G.5. SIGNED: " DATE OF APPLlCAT[~ OAiE.: ~F<K TO SE t='E~D BY: CON~CTOR *" if))l Jl fsJJn. ) O~R l.LJ CONTRACTOR ( * R:~15TRATION NO. EXPIRES, ADDRESS PHONEI ;-roo;.v....=-URE FOR lNSF:CTION REQUEST. CALL 126-316~ lREC=ER) STATE YO~R CITY OESI"':--:t.TED JOS NJMSER, JOS ADDRESS,TYPE OF IN&PECTION REQUESTED .AND l,!.J;.1EN YOJ ~!LL 9E REt..::IY FOR lNSP':CTION, CONTRACTORe OR OUNER5 NAl""iE 4.'1::> Pi-lOi-o(E NJMSER. REQUEST5 RECEIVED SE:"-ORE 1,,,,", ,(,'1 UJILL SE MADE rrlE 5AME DAY, REQJEST5 AFTER 1,"'"' AM WILL BE MADE THE NEXT u.oRKING DAY * SEE SOOK EXl5TING SUILDING _"""17 NO, ( IF AFPLICASLE ) YOUR CITY DE5IG"<A~~ '~OS NO, 15'!' q \ n435 i"SGlUII'lED lNSF:CTIONS D SIDEUJALK I ORIVEWt. Y FOR ALL ca..lCRETE Pt.YIN~ WITHIN T~E STRE:ET RiG;..IT OF W.4 '1", TO SE M.l.DE A=TER ALL EXCAVATlNG 15 GO:1PLEiE A"<D FOR"! u.oRK 4.'-\D &Ll9-845E M..:. TERlt.L IS IN FLACE ~ CURS I APPROACH t.PROS, At:'jER FOR:'15 ARE ERECTED BUT PRIOR TO POJRING CONCRETE, ==5: SIDEWALKS t\0,00 + ~0.1",/L';=. ( X ) OF WALK CURS-CUT WALK X' !10.00 + K:>.I5/LE ( X ) / CO:-1:"1!ORICAL DRIVEWAYS 5!-!ALL{)O 'I H~VE ~' TO 8' FLAIRS . .~ 3'- 0" STA'iDARO .1 "\ I, s TOTAL FEI"t1IT FEE: _ 13.o{) x' ') . :":~V'E Ct.R;:1='JLLY EXA"'"iINED Tl-!E COi1FL:::TED ~PPLIC4ilo-.: PaR PERMIT, ":'~D DO I-lERESY CERTIFY TI-lAT ":"LL ."'=-O~ATfON l-lEREON 15 TRJE Al",lD CORR:CT. A~D [ P~~i;"';=:R CERTIFY Ti-l.4T A~,..t'( .:o.~D MLL lJ..lOR<. PER=O~ED 5-'-'.LL SE DONE IN ACCORD..:....CE UJITI-! T!-!E O!'01N4"'CES OF T!-!E CITY OF SPRINGFIELD, A"'D Tl-'!O LAt!.15 OF Tl-'E =7':"TE or OREGON P:RTA1N1N~ TO T!-;E llk:>R<: PE5CRI5E::I ;"';ER:IN, ,l.,-,p ii-lAT NO OCCUP.4'iCY WILL SE M.4DE ~~ 4"''1'' STRJCTURE W1Tt40:.JT PERMISSION O? THE 6UILDINGr DIVISION. I F'J~Ti-1ER CERTIFY 7;";AT O~L Y CONiR.ACiO~S -=.,,::> Er--~~ ARE :ii.PLIA...CE WITHOR5 ,01.0;,,, WILL 5E USEO ON THI5 PROJECT, /h ~ t:] "'1 ~ J~...g~<t'> ~A,