HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
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~5IDENTIAL - COMMERCIAL
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SPRINCFIELD
22S NORm FIFTH STR:ET
SPRINGFIELD. OREGON ~1411
ENGINEERING DIVISION
Q:TICE NO. 126-31S3
INSP:CTION UN:, i26-316~
JOB ADDR:55,
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T.t..X LOT NO~ "*
REC:IPT NO, 17t.O'o
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5U3DIVISION,
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O.:NER, 1-1 A 5t:. A
ADDRESS, 'X>o vJ,
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ll.IOR<: DESCRIPTIO.!'
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ZIP, "f'7~71 P;.IQN: NO.
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C;..i:C<:D cOR D:LINQJ:NCI:5' ~
cusa 51D: _
5:BAC< _
CWRS-Ct.JT: ~SIDa-.;7IAL _ CO:-1l"'ERICAL
5:=ND DRIV=w..:. T' I 5:= ,RR'rIC )
REaJlRES APFUCAOION FOR A 5:= DRIV=ClAT'I"'-~.1.)
OR A COUNT-r AF'P~ICA"ON FOR FACILlTT' F:R:'1IT IC '38-2"'3)
IF IN T1-i= UC5.
!)Ar: OF APFLICAOIQN k"--,,r
5IGN;::;':
f!>o f? Ie..
~-rG-f'5
DAT::
WRK TO BE FERrv"", I!::D BY:
O:.u-ER
~~IRACj'OR
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RE"15T~TION NO. ~:>'7 I
=XPIRE5"~-2.l- 96
P;..ios=,~~/ - ~s ~5
CON,~CTOR* ,.:;rrA'10J-..l
ADDRESS Z'1 ~'lq P..
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AI P'P'DR,f eel.
,~.....",.....URE FOR INe.F:CTION REQUEST:
CALL 126-316~ O'='==R ) STAr: YOJR CITY D=51"~r:D J03 N'~3=R J03 ADDR:S5., : p: OF
INSPECTION REQUESTED A"ID lU-iEN YOU WILL 9: R:AOY FOR INSP:CTIO\!, CONTRLC70RS OR O.1N:~ N.t...""!: t...'ID
PI-lON: NUM3ER REQUESTS R:CEIVE!) 9:rur= 1,"'''' 411 WILL 9E MADE THE SAME DAY. R:a~=sos "<'=1ER 1,00
""'1 WILL BE MADE THE NEXT lJ.iOR<ll'.j6 DA T'
EXISTN@ ~!lL:::>lNG PERMIT NO. ( rr= APFLICA9LE )
'* ~== c""","
;J__~
YOJR CITY D:::SI6NATED J03 SO. Isf
fC:;-1 t)?'-I
R!:GlUIRED INSPECTIONS
[:f
SIDEWALK' DRIVEUJAY
FOR ALL CONCRE1E FAVIN<::; WITHIN
THE STREET RIGHT OF WAY. TO 9=
M.t..DE: ,t.,FTER AlL EXCAVATING
IS COi'"'iPLETE AND FORM WO~
A'lD SU3-9A5E MA1ERIAL IS
IN PLACE
D
.- CURS I APPROACH AFRO
A=T:R FOR:1S ARE !:R:C7:
BUT PRIOR TO FO~RING
CONCREiE.
FEES:
SIDEWALKS
CURB-CUT
TOTAL PERMIT FEE,
I" I
I ~,,",V'E.CA~~LLY EXA"'1I~D TJ-!E COMPLETED APPliCATION FOR PE~IT, ~'1D DO l-4ER:BY CERTIFY 7"':.L.T ALL
INrO~ATIC"N l-4ER:ON 15 TRlJE A~ CORRECT, A'lD I AJRT;";ER CERTIFY THAT A~Y ~~D ~L WOR< PE.........._~ lED
5I-IALL BE DONE IN .'~~""""A'lCE WITH TH= ORDIN"-'lCES OF TI-<E CfT'!' OF SPRINGFIELD. AND TH= LACS OF THE
STAT!: Of OREGON FERTAINING TO THE lJ.iOR< DESCRI9ED I-'.ER:IN, A'lD THAT NO OCCUFA'lCY WILL 9E MA!:>E
OF ~SY 5T~CTU~ UlI",i--lOJT PE~155100 Of T...e BUILD!NG DfYI5IOt.J. I FUR71-l~R CERTIFY 7t-f..lT ONL Y COS"'iRACTO~5
AND EMPLOYEES UJI-IO ARE IN COMFLIA'lCE WITH ORS 101.<*S WILL BE U5"D ON THIS PRO~ECT.
~
/f
co.'1MERICAL DRIV=WAT'S SHALL
HAVE S' TO 8' FLAIRS
3'- "'. STA'lDARD
WALK x'
/ ""
J x' I.
"
~10.00 . ~.15/LF. ( X )
0;= WALK
~10.00 . ~.15/LF. ( X )
SIGNE!:>
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