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HomeMy WebLinkAboutPermit Curb Cut 1993-5-27 225 NORTf-I FIFTf-I 5TREET 5PRINGFIELD, OREGON 91411 ENGINEERING DIVI510N OffiCE NO. 12&-3153 1N5PECTION LINE, 12&-31&9 r5IDENT~I:;ALK;~~RCIAL AFPLICATION i PEFlMIT SPRINGFIELD 11/90 Joe ADD~&&. 2-577 /<.c>~<.c./ If! A55E550R5MAFNO.* /7-03-23-44 TAXLOTNO."* 2.frOO RECEIPT NO, 00 g 0 <;"2- CA5fl 5UBDIVI5ION, Cf-IECK t--' OII.NER> R~,.eT ELLIS ADDRE55, 2-f>77 3' ~ Ro-<"..E.8i~crrr, 5'p~~l'ct./J 5TATE, oJ'2.EZ~ ZIF, '17477 FI-IONENo.747-47/5" lIJOI'!K DEElCRIPTION. . CHECKED FOR DELINGlUENCIE5 ...!= 5IDEIlIALK, CURB 51DE _ CURB-CUT, --.X... RE51DENTIAL L 5ECOND DRIVEWAY (5EE TRAFFIC) REQUlRE5 APPLICATION FOR A flECOND DRIVEWAn'T-4.1.} OR A COUNTY APPLICATION FOR FACILITY PEFlMIT (C '38-2"'3) IF IN TI-IE U.c..6. flET6ACK _ COMMl:RICAL _ DATE OF AFPLICATION ~~J43 5IGNED. DATE, i3.",e. /~:... --:.~ 5/27/"7"3 WORK TO BE F'EF<M.......... ,1::0 BY. OII.NER X CONTRACTOR CONTRACTOR. }jp/2ll!fJJC5T fl-JrIVJ5C/IPES REGI5TRA TION NO..'25 77 f> S- ADDRE55 /4/f3 lr'oUfNtJA S 7.; !37/-k'/--<.;c;:;,PI€C.O .-..... .. -. .. ~ FOR IN&FECTION ~QUE&T. CALL 12&-31&9 (RECORDER) 5TATE YOUFl CITY DE51GNATED J06 NUMBER. JOB ADDRE55,TYFE OF IN5FECTION REQUE5TED AND Wf.IEN YOU WILL BE READY FOR 1N5PECTION, CONTRACTOR5 OR 0II.NER5 NAME AND Ff-lONE NUMBER. REQUE5T5 RECEIVED BEFORE 1.""" AM WILL BE MADE Tf-IE 5AME DAY, REQUE5T5 AFTER 1.""" AM WILL BE MADE Tf-IE NEXT IlJOf<l<INCs DAY EXFIRE5, /2./10/'13 F1-lONE, 7ZC;; - ?r 475' · flEE BOOK EXI5T\N0 6UILDINCS FEFlMIT NO. ( IF APPLICABLE) YOUR CITY DE51GNATED J06 NO. 151' q 3D744- ~QUI~D IN&Fl:CTION& D 51DEWALK I DRIVEWAY FOR ALL CONCRETE FAVING WITf-IlN Tf-IE 5TREET RIGf-IT OF WAY, TO BE MADE AFTER ALL EXCAVATINCS 15 COMPLETE AND FOFIM IlJOf<l< AND 5UB-BA5E MATERIAL 15 IN PLACE ~ CURB I Af'PROACf-I APRON. AFTER FOFlM5 ARE ERECTED BUT PRIOR TO FOJRINCs CONCRETE. FEE&. SIDEWALKS CURB-CUT WALK x' .llZl.lZllZl + ~.IS./LF. ( X ) .!lZl.lZ)lZl + ~.IS./LF. ( X ) /(p I / "" OF WALK COMMERICAL DRlVEWAY5 5f-1ALL .J x' I, {2.4-0 f-IAVE 5' TO 8' FLAIR5 . 3'- "'. 5TANDARD ~ TOTAL .-,,~ .IT FEE. I f-IAVE CARERJLLY EXAMINED Tf-IE COMFLETED APPLICATION FOR PEFlMIT, AND DO f-IEREBY CERTIFY Tf-IAT ALL INFOFlMATION HEREON 15 TRUE AND CORRECT, AND I RJRTHER CERTIFY Tf-IAT ANY AND ALL WORK PERI'Of<MED 5HALL I3E DONE IN ACCORDANCE WITf-I THE ORDINANCE5 OF THE CITY OF 5PRINGFIELD. AND Tf-IE LAW5 OF Tf-IE STATE OF OREGON FERTAINING TO THE WORK DESCRII3ED HEREIN, AND THAT NO OCCUFANCY WILL I3E MADE " OF ANY STRUCTURE WITf-IOUT FEFlMISSION OF THE I3UILDINCS DiViSION. I FuRTHER CERTIFY THAT ONLY CONTRACTORS ~~ ~:::: ~ ~Ai1!fff;;r/ OR5 1"'1~5 WILL BE USED ON THIS PR~~T~ / . ~?- S~" V : . DATE