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HomeMy WebLinkAboutPermit Signage 2011-3-28 ZZ5 flITH STREET. SFRlNGflELD, OR 97477 . FH:(541)726-3753 . FAX: (541)726-3689 ~. FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Fortable Sign Fennit ~; City Job Number c;yCL'Z..OC(- Dc:::. 553 .,,~- . ."~j. JobLocation /<g91 )\>;o"'~ ~J\~..'P/tII-'A,tA-1~lrs.f J~~: 1705. ZbZ 3 Tax Lot . 6230Z. ; Assessors Map f) c.()J (l9' ...;< '<wi, ...~ 1:..-(, cQ) ~.~ ~, l~~" -.. ..,._I~ ~, ~~ ~, ~~: V'~ 1 :::.~ _i -- , eel .'" U) -""' IJ l~ "~l -, ~ e'_I, eJ~' ~:&l .... ,,.--k lZtQl (19) " ~i~ ~ ~~ \;::;;J, J__...3 t__I, eJ ~:-'I --- t I; (19j ~; ~: .~j ~l . SPRINGFIELD Owner (--rb 4' ""~"t..k.t.,LJ<...q.. ~ Owner of Property It\2..<:..- -r~()/\vur ~kl-'" Address:333:::) New 1+y6e- fNLIc:.- I<-n City . 11M ~iv be- (J/tfL\s::... State _. N V I cJ f C811t;'llct4J~aller s;:\~~. <c\.-\v- /' Contractor lY'f y,.- L't'* {C-1Ib'lc:- Se.o'ro....Sf;-\-~ Address '6 751'-{~~7.;vv ~~ PhoneJ2::ll-,\ 4Co-I5"'Z.'j Phone Zip no '-fZ- City --::i:t,rt .~ Zip q 7'ibLt Expire" 1/1 (e... State B- Construction Contractors License # '^(~ Description b"^V\....~ ~ -\-I""rv,,'y Date of Installation ~).M..L Z?,,,r~ 7J')\ \ rlk~ c,,,,\t,, ~'\;~()Ils ",~~J.. ~ <.,\.rvc...\vrt. Date of Removal .:J.J\{ ("-\:I,,. loll Permit Fee: $115.00 Permit is valid for 30 days from date ofInstallation . 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 \-1~ Signatuw- , Date 3..U~\ I Date of Application ~JII 'p~ Amount Collected R . # '-zoll- uObbS- ecel pt liS ,- For Office Use >1/-00 s-S3 . Job # Issued By Shared Drive (T:)lBuilding FonnsIFireworkslChristmas Tree Banner-Portable Sign Permit }.2010.doc .. TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield, OR 97477 541.726-3753 www.ci.springfield.or.us 811-SPR2011-00553 1891 PIONEER PARKWAY EAST permilce nter@cLsprlngfield.or.us RECEIPT NO: 2011000665 RECORD NO: 811-SPR2011-00553 rbi:SCRIF1:T16N~ ,.,~:~:,?::_,,: ::~;.#~ :2: ::L"~-'.'-~I':;4';:: "";''';;'::;'ACC0UNf~C:obE'::~;''"'\;;:C, Admin fee (10% of applicable fees) 224-00000-426605 Banner, Portable 224-00000-425602 - - Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: DATE: 04/06/2011 ':~-AMOUNtDUE_;"; h 10,00 100.00 5.00 115,00 ,_,AMqU~T PAID 115,00 ] ,"' ",. .... ';'^.-.".... ~ v....._..'."'<., .. ."',.........-".,"" _.. """'F':4":.:'-' ."'-'._ .'.,...~- .. ~.' i:!.RAY-IV1~NJ;~~, ,,:? ,PAYOR:" -CASHIER/i)BOWLSBY""", Check AMERICAN PROMO EVENTS 7316 .;,,';? ::'C: .cOMMgN.-,-t~~~~~d~:f+;:;; .'<{ <_ -"'''~'9i~_ I TOTAL PAID: 115,00