HomeMy WebLinkAboutPermit Curb Cut 1911-5-28
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RESIDENTIAL - COMMERCIAL
225 NORTH FIFTH STREET .
SPRlNGFI::LD.ORE(;ON "11411
ENG!N::::RI~ DIVISION
OR=IC::: NO, 12&-3153
INSF::CTlo.-l L1N:::, 12&-31&"1
SID:::WALK I CUR5CUT
AF'f'LICATION I F::~IT .,
J03 ADDRE55: "'l R 1 0 .b (' ['tt~ G,u.n [\( _
ASS::S$ORe. MAP NO.* \ ,mdlcJ4. TAX LOT NO, tiSl ('{)
5'..JSDiVI5tOS: II
OU-loE,," (:j/O(')Ytu.e.rJ
ADDRESS-.:i iq~ en -r--l A(Y1J) CITY, '
STAT:::, 'c.cr-AQAI"lJU ZIP, (U1 ~~ON::: NO, l? ~.~!?,.":<.
~ DEecRIFTI~, (j
SID8'''-' K, CURS SID::: _
CURS-CUT,::r:- RESID:::NTIAL _
5:::COND DRIY::WA Y (S::::: TRA=;=IC )
REaJlR:5 APPLICATION FOR A &:COND DRI\lEWA"""('i~4.la)
OR A CO.JNTY AF'P'_ICATION FOR FACILITY F::~IT (C <;8"03)
IF IN ~= U.G.9.
5ETSACK _
CO:1li::RICAL _
DA'iE 0:= ~erpLICATto:-.J
~,Z'6.qJ
lLOi<iK TO BE PERf<,.;"", Il=D ~: )
CONTR.l.CTOR *ffi n>> J'SCJ7'--/
O~R CONiRACTOR
*
REG:15TR.L. TiON NO.
ADDRE55
SPRINCFIELD _
REC:::IPT NO, dO 18"0
r A5i-l
:H::CK ~
"*
CH:::Ci<ED FOR DELINQlENCIES
SI(;N:::p,fA;0
S.9I~.q (
DATE:
:::XPIRES,
P;..IONE,
.1" -. JJRE FOR lNSF:CTION REQUEST.
CALL 1,6-31&"1 (REC=:::R ) STAT::: YOUR crn- D:::SI(;~T:::D J05 N.r.-;5:::R, J05 ADDRESS,"iYPi: OF
INSPECTION REQUESTED A'ID u;...l:N YOU W!LL SE READY FOR 1N5PECTlo-.!. CONTRACTORS OR OUNERS N.t...""iE t..~D
PHON::: Nu:-e:::R. REQU:::STS REC:::IY::D 6="....= 1,,,,,,, AM WILL 6::: MAD::: TH::: SA"!!: DAY, REQJ:::STS AFTER 1,=
AM WILL 6::: MAD::: THE N:::XT UO~INCiI DAY
*s::a~
--~
:::XISTINGI ElUILDINCiI F::~IT NO, ( IF AF'f'LICA!3L::: )
YOUR CITY D::5IGoNA: :D J05 NO, Isf q \ ()?J. (JP-.,
CURB-CUT
tl0,00 · Y.U.l5/LF, ( :!Jb /
CO~=RICAL DRIVEWAYS Sl-lALL
HAY:: 5' TO e' FLAIRS
3'. on 5Tt.."JDARD
REQUIRED IN&F.:CTIONS
D
SID:::WALK I DRIY::WA Y
FOR ALL CONCRET::: FAVINCiI WITHIN
Tl-1E STREET RIG;";T OF WAI. TO 6E
M.t-.DE klER AlL EXCt..YATrN~
15 COMPLETE A'lD FO~ UJOR(.
A~D &'..J9~9A&E M.4iERIAL IS
IN PLAC::
:-::=5:
SIDEWALKS
tl0,00 . to.15/LF. ( X )
0;= WALK
TOTAL FEFiMIT FEE:
t
13,OU
ffJ
.1
CURS I APPROACH A!"RON,
AFTER FOR"15 AR::: :::RECTED
6UT !"RIOR TO POURIN",
CONCRET:::.
WALK X'
/ ""
I, X' I,
" "
I ;"':.!.VE Ct..R:::-ULL Y EXA"'1INED T~E COMPLETED APPLICATION FoR PER11T, A.'iD DO t-lER.:6Y CERTIFY 11-4AT ~LL
''':=OR."'1ATr~ l-lER::ON IS TRUE A~D CORRECT. A'iD I FURTl-lER CERTIP'r Tr4.4T ~~I ~l."JD .4LL lLiOR< PERFOR!'"iED
5~'~LL SE p~= !N ..4CCOR:>,4l."JCE WITt-! Tl-iE ORDN~"-JCES OF Tl-l= CIlT" 0:= SF"RING!=IELD. ":"".lD Ti-!E L~ or:: T~E
5T..:.. TE 0:= OREG:O~ PERT ~INING: TO T;";E llJO~ DE&cRI5ED HEREIN, ~~p IMA T NO OCCUPA"-JCY WiLL SE M~DE
~':'~Y SiRJCTU;;?E WITHOJT PERl"i1551ON or:: Tl-lE BUILDING: DIYI5l0~ r FURil-1:=R CERiIF"r ii-lAT O~L I CONTR4CiOR5
"'''P :::MPLC,==S UA-;O ARE IN COMPLlANC::: WITH ORe. 101.055 WILL 5:: US::D ON TI-<IS !"ROJECT,
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