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HomeMy WebLinkAboutPermit Signage 2000-3-15 (2) ... I Job# 00-00399-02 I CITY OF SPRINGFIELD, OREGON Page 1 of 2 TRANS#:01-0000940 DATE:MAR 15 2000 AMT RECD:2 $ 80.00 CHANGE: CASHIER:032 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR 97477 location Of Proposed Site: 212 Q St Spr Assessors Map#: 17032624 lot: Block: Addition: Owner: Marilyn Phillips 212 Q Street City/State/Zip: Phone Number: 541-747-1499 Address: Scope Of Work: Sign State Farm Insurance This is a copy with anew Sequence Number New Contractor Type Sign Contr Job Number: 00-00399-02 Office: 726-3759 Inspection Line: 726-3769 Tax lot #: 01501 Subdivision: Springfield, OR 97477 Value: $2,500 Contractor Registration # Expiration Date ES&A 1210 OakpatchRoad, Eugene, OR 97402 Phone 541-485-5546 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Total: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Height (feet): Proposed Units: ... Sign District: -Sign Dimensionrr Vertical: 3' Job# 00-00399-02 I Community Comm Type of Sign: Wall Sign Horizontal: 3' Height (Above Grade): 9' Sqr. Footage: 9. Illumination? D Comments: Fee Sign Permit - 0 - 35 Square Feet Total Sign Grand Total Plan Check Type Sign Checked By Kaye Wilson Thickness: Page 2 of 2 Face Type: Single Face From Grade To Bottom: 6' Sign Material: Aluminum Paid On Receipt# Sign 03/15/2000 940 Date Completed 03/15/2000 Value/Quantity Fee Amount 2,500 $40.00 $40.00 $40.00 By signature, I state and agree! that I have carefully examined the completed application and do 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). cgn {j, ~. Signature - \. ~ -fJ--oO .. Date