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HomeMy WebLinkAboutPermit Sidewalk 1995-6-28 IlfC'o...o ~SIDENTIAL - COMMERCIAL :~~~~~~~~T.- 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. \ ~yf ~!A':' . D1,/..tf'/(,~-