HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
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~SIDENTIAL - COMMERCIAL
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225 NORT~ FIFT~ 5TR:ET
5PRINGFIELD. OREGON ':11411
ENGINEERING DIVISION
OR'ICE NO. 116-3153
INSPECTION LINE, 116-316':1
J09 ADDRE55, e;r7 V.J. (Q u l~ Al.:1"
-'-S5ES50RS MAP NO.+' /I_"~ ~'t. 7- 4L T"-X LOT NO: +. 100
5U9DIVISION,
SPRINCFIELO
CAS!-;
RECEIPT NO, (~'S
CHECK
O.:NER, 1-\ A sc:. A
ADDR:55, 300 vJ .
S,AE, 6 rL
il.OR< DE5CRIPTION,
S!::>:wALK, ~
(f?712-IlJ-1-I ~;.J A f"t:rz...)
r-::AI~V/t!t.-vJ CITY, Gf'>?'II..a.F",ed/
ZIP, "'1~7 7 F-lONE NO.
-I'
Cr..;:::CK=:D FOR D::LlNQJ~C1E5.' !::.
CU;;S S!::>:
5EBACK _
C!.JR9-0.rT: !<:5IDES71.!.L _ CO. r. ERICAL
5:::COND DRIVEWAY (s:: 7R,.t..Fi=IC )
REQUIRES APPLlCA"~ FOR A S:C= DRIV::WA",,<"'-4.1.)
OR A COUNTY -'-PPLlCATI~ rOR rACILlTY F::~IT <C ':l8-1"'3)
Ir IN TH: U.G.s.
SIG!'-E::;:
~ATE Of AFPLICA7100
~(Z-7!rs
0.4-::::
ll.ORl<: TO BE FERrv"", IcD BY,
~N'RAC'OR
*'
R:GI5TRATION NO.' '3";7 I
O~~
CQN'RACTOR'* -"'3rrA-roJ-l
.t.::>DRE5S 'Z.9 ~?~ IS
r/'>M.<:'~C.:tII!)JJ
AIF'POR..'r eel.
~
;So c> Ie..
t,_l'g~~
:XPlRES,?-2..I- '16
po..;OS="LlfDl- ()s~.:5
r,.....,....t::......URf: FOR lN5Pl::CTION REGlUEST,
CALL 116-316':1 <RECORl:>ER ) STATE YO'JR crIT D:SIG~ED J09 Nlf.'i9:R. J09 ADDR:5S.TYP: OF
1N5F::CTION R:QUESTED A'ID lI.I-I=""N YOU WILL 5: R:ADY FOR IN5PECTION. CONTRAC,ORS OR 0l:N:R5 N.l-.~", -'-'1D
P!4ONE NUM9:R. R:a.EST5 RECEIV::D 5=i"OR: 1,C>O -'-'1 WILL 5: MAD: r..E SAME DAY, REaJ:5,S "'=TER 1,C>O
..0..'1 WILL B: MAD: n.;: tEXT UJOR!<ING DAY
EXISTING SUILDlNG P:::~IT NO. ( rr= APFL/CA9LE )
9b'/ /) C/2-
'* 5:: BOo.<
YO'J~ CITY D:::S1GNA1E0 J09 SO. Isf
REQUIRED lNSFi:CTIONS
~
5ID:WALK I DRIveWAY
FOR ALL CONCRETE PAVING W";..IIN
THE STREET RIG4T or WAY. TO 5:
Mt..D: .l..:-rER ALL EXCAYATrNc:,
IS COi""iFLETE AI\ID FOR!1 lU::?R<,
A'ID 5U9-9A5E Mt.TERIAL IS
IN PLACE
D
FEES,
SIDEWALKS
~10.00 . ~.15/LF. ( X )
0;= WALK
CUR9-CUT
~10_00 . l-0.l5/LF. ( X )
TOTAL FERMIT FEE,
s
CY
CO;-1MERICAL DRIV::WAY5 5~ALL
~AVE 5' TO a' FLAIRS
3'- "''' 5TA'IDARD
.~ CURS I APPROAC~ AFRO
AFTER FO~S A~ ERECi:
BUT P.<IO!< TO pO:JRINc.
ca-JCRETE.
WALK X'
/ ""
I. X' J
.,
I" /
I ~.t:.YE ,CA~~LL Y EXA...,IN:D T).JE COMPlETED APPLICATiON FOR PE~JT. ":""ID DO ~ER.:eY CERTIFY' 7!-;.l.T ALL
IN?OR'1ATIClN J-lEREON 15 TRUE A"'ID CORR:CT, A'lD I RJRTHER CERTIFY TI-IAT Al.",lY ~"D AlL WOR< FE~O~ED
5;-IALL BE DONE IN ACCORDA'ICE WIT~ TJ..;E ORDIN"--'1CES or T~E CITY or SPRNG!'IELD. AND TH: LACJ5 OF T~E
STATE OF OREGON PERTAINING TO TI-IE lU:)R!<. DE5CRI5ED ~ER.EIN, A"lD TI-IAT NO OCCUPANCY W:LL 5E M~!:>=
~. OF "'''Y ST~CTUR.: W"~OUT PEl<\'1ISSI~ or T~E !3UILD!N6 DIVISIOI'~ I FU!<,I-IER CERTIFY 7~.i, o.-IL Y CQS,RACTORS
.eND EMPLOYEES UJl..IO ARE IN COMPLIA'ICE WIT~ ORS 1"'1_5 WILL BE U5:D ON T~IS PROJECT.
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