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HomeMy WebLinkAboutPermit Sidewalk 1995-6-15 Il,ra...o ~5IDENTIAL - COMMERCIAL :~~~~~~T . SPRINCFIELD 22S NORm FIFTH STR:ET SPRINGFIELD. OREGON ~1411 ENGINEERING DIVISION Q:TICE NO. 126-31S3 INSP:CTION UN:, i26-316~ JOB ADDR:55, 0cXo 11.../ -'-SS:S50RS MAP NO.+' /7o-z. '2..-7 ~7 _ tC'J, J IIv IJ<.. -r" T.t..X LOT NO~ "* REC:IPT NO, 17t.O'o //')Q CAOL; 5U3DIVISION, C;..i:C< ~ O.:NER, 1-1 A 5t:. A ADDRESS, 'X>o vJ, 5oAr:, 6R- ll.IOR<: DESCRIPTIO.!' 5!!:)::""'.l ---1 ~ ( ~f2..1 J}/-./ ~}..j A r::E:Il....) t===-AIe...~tJ Cln', GPe,l-J(..ftfrf? ZIP, "f'7~71 P;.IQN: NO. -I; 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 '* RE"15T~TION NO. ~:>'7 I =XPIRE5"~-2.l- 96 P;..ios=,~~/ - ~s ~5 CON,~CTOR* ,.:;rrA'10J-..l ADDRESS Z'1 ~'lq P.. r /\J.I,&:.7!?LIc.;1'/ ()JJ 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!:> DA1E