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HomeMy WebLinkAboutPermit Sidewalk 1995-6-15 11;0.....0 ~5IDENTIAL - COMT1ERCIAL . SID:WALK / CUR8CUT . Af'f'LICATION / PER:-lIT ' 2J5 NORTH FIFTi-l STR:ET SPRINGFIELD. OREGON '!l1411 ENGINEERING DIVISION Ofi'ICE NO. 176-3153 INSP:CTlON LiN:, 176-316'!l J09 ADDRE55, . r:;j 7 vJ.. (;) Ol/-I/U..-r ASS:S50RS MAP NO.+- /., /')~ -z.., q'Z- T"-X LOT NO: +. /~ 5U5DIVISION, O.:N:R, /-4 A Sf:. A ADDRESS, 3>00 v.J . S,,,-T:, Ore.. lJ..IOR< DESCRIPTION, 51::>:uJ,l,LK, ~ ( &2../ frl-./ ~/.J A F'€I2...:') r::;.L1/e...V/~ C!7Y, 6Pell4('F'/frP ZIP, <f1Lf71 Pi-lQN: NO. cuss 51::>: =:BAC<' CJR9-CUT: ~5[D8'7J~ _ co. c ERrC~ 5:COND DRIV::WA Y (5:: ,R.<.i'rlC ) REQUlRE5 APPLiCA,lo..J FOR A S:C= DRIV::WA':'('T-4.10) OR A COUNTY t.f'f'LICA71ON "OR FACiLiTY PE~IT (C '!l8-7"3) I~ IN Tl-;: U.G.5. Dt.T: cr. APPLiCATION 0- (~-f'5" SPRINGFIELD REC:IPT NO, 11J"O CASH CH::C< ~ +. Cf.;:C<=OD "OR D:LINQ;J:NCI:5 stG:~:;; DA"'i'::: lL\:)Rl<: TO BE PEF<Fv"", leD BY, 0\lNE~ ~~~C70R +. RE615,RATION NO.' '3",-7 I CON'RAC70R* -'7'1'A-rOJ--l A::>DRE5S 2-f $?q /$ r /\/..Lc.,-1f!.vc..1I OJJ A / PPOR.f eel. 1- f};o f> Ie ~J~- ~ :XPlRE5,,:?_Z-I_ 96 P"':'=':-,L{f,,/. tJ5 <15 ~=-URS FOR IN5F!:CTION REQUEST: CALL 176-316'll (R:CORD:R ) STAT: YO'.JR CITY D:516~1ED .J05 N'J:"1:3':-R, J05 ADDRE5S.TYP: cr. INSF:CTION REQUE5iED A~D ~ "rOU UJILL S: R;:A::>"( FOR INSFECilo-J, CONTRACTORS OR OCN.:~ N.l..""!: .l..~D P~ NU115:R. R:O'J:5,S RECEIV::!:l 5:FOR: 1,"<l> "'.., WILL 5: MAP: Ti-l':- SAME DAY. REQ.J':-S,S ":"=TER 1,0<:) A..., WILL B: MAD: ,1-;: N:XT lLOR'(ING DAY * SEE eoo:<. "rO...1~ CIT"( D:SIGNA'i'::.D JQ3 NO. 150-;' EXISTING ~ILDfNC3 F2~1T NO. ( rr AP'PlICA9LE ) C1516C;-O REQUIRED INSPECTIONS [f SID:WALK / DRIV;:WAY FOR ALL CONCR:TE PAVING wm-llN TH: STREET RIGi-lT 0;= WAY. TO 9':- Mt..DE .t..=TER AlL EXCAYATINU IS C011PL:T: AND FO~ UJO~ A~D SUB-BAS: MATERIAL 15 IN PLACE FEES, SIDEWALKS ~10.00 . ~.I5/LF. ( X ) or WALK CURB-CUT ~10_00 . ~.I:,/LF. ( X ) D s g COO1MERICAL DRIV::WAYS Si-lALL HAV:: 5' TO 8' FLAIRS 3'- ". STA'lDARD TOT AI- PERMIT FEE, I :-lAVE .CAR::"R.JLL Y EXA'1IN:D TJ.l:( COMPL:TED Af'f'LICA7ION FOR P:f<:-lIT, "''lD DO i-l:R:BY C:R,/FY 7Ht.T ALL INrO~ATION i-lER:ON IS ~E A'V CORR:CT. A'lD I RJRTH:R CERTIFY ,i-lAT A'lY A'lD ALL UOR< P:~o;<Mi:D s;..JALL BE DONE IN ACCORDA'lCE WITi-l Ti-l: ORDINt.'lCES 0;= Ti-lE CITY 0;= SPRINGFIELD. AND TH: L~ cr. THE 5TAT: 0;= OREGON P:RTAINING TO Ti-l: lLOR'( DE5CRI5:D H:REIN. A'lD TI-IAT NO OCCUPANCY WILL 5: Mt.D: OF ~-":"r STF'JCTU~ UJlil-lOUT PE~15SION Of TI-lE 6U1LD!NG: DIVISIOt-t I FUR71-lER CERTIF'Y" it-l..lT o:--ll "( COS"iRACTO~5 AND EMPLOYEES Wl-IO AR: IN COMPLIA'lCE WITi-l ORS 1"1~5 WILL BE US:D ON TI-IIS PROJECT. SIGNeD DATE ._ CURe / APP.<OACi-l APRO A:-OER FOR:"15 ARE :R:C" BUT PRIOR TO FO.JRING CONCRETE. UJ..G.U< x' / "" I. x' J -,