HomeMy WebLinkAboutPermit Signage 2006-7-13
~; 225 FIFTH STREET.' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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D"escription of Proposed Sign(s): (Please check ~nd coolplete all appropriate information)
_ Wall ~reesta'nding Projecting Roof
~ingle Face Double Face Billboard Other
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Marquee
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Tota] Height above Grade:
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Vertical Dimension of Sign or Enclosure:
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Material Sign is Constructed of:
Horizontal Width of Sign or Enclosure:
Electricallnstallation:~s _No
(If yes additional electrical pennit required)
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f\..\ <<\'.A L. - L ex' A 1'-> Value of Sign: -:::" ~O() ~
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Dimension from Grade to Botlom of Sign Enclosure
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List ALL existing signage and ilttach a photograph of each sign:
(a) Type P ~\...... Sq. Ftg. l 0 D I (b) Type
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(c) Type 1.>..,,/1.'1...'-. Sq. Ftg. I.dJ
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(d) Type
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Address: ~ 0'1..1=. ", \l~~/
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Construction Contractors Registration Number:
1:7- \N'- ~ C?
Phone: 2:,,,\ \ -<n.lis. S~S ;6
Contractor/Installer:
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Zip '1132\
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State:
City:
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Expires:
Sign District:
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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 d~ring the installation of the sign(s). .
Signature
Shnred Dnve(T:)/Building FonnslSign Pennit AppliC;ltionl-O::!.doc
Date
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: NOTICE:
, THIS PERMIT SHALL EXPIRE IF THE
, AUTHORIZED UNDER THIS PERMIT I
COMMENCED OR IS ABANDONED FO
ANY 1 0 D Y PE 10D.
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JOB No. L6...U:lO 6 .eo If 7Y
OCCUPANCY GROUP
OCCUPANCY LOAD
TYPE CONSTRUCTION
IPTION , e,O.0:3Z0 tSD{,"O
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DATE RECEIV
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UNIT(S
STORIES
LEGAL DESC
ADDRESS
OWNER
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THE &6NTENT . HERE ON HAVE BEEN REVIEWED, WITH
ALTER~ATlONS I 'DleATED ON COLORED PENCIL. CHANGES
OR ALTERATIO MADE TO THE APPROVED DRAWJNGS OR
PROJECT AFTE:F THE DATE BELOW SHALL BE APPROVED BY
THE: BUILDING FFICIAL.
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CITY OF SPRINGFIELO, OREGO)'
APPROVED BY ~ DATE 6 ,.
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
Date: 07/13/2006
1:27:18PM
1200600000000001061
Job/Journal Number
COM2006-00874
Payments:
Type of Payment
Check
cRecejJ)11
Description
Sign Plan Review
Paid By
GERALD P. MAYMO
Received By
Ikw
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
5860 In Person
Payment Total:
Amount Due
40.00
$40.00
Amount Paid
$40.00
$40.00
7/13/2006