HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
111"'..0
~SIDENTIAL - COMMERCIAL
:~~~~~~ ~~T.
225 NORTH FIFTI-! STREET
SPRINGFIELD, OREGON ':\1411
ENGINEERING DIVISION
O;;=ICE NO. 176-3153
INSPECTION LINE, 176-316'3
JOB ADDR=55, ?"Z1 W. fJ III .... Lil -r
"-S5:550RS MAP NO.*" II (-)-:; '2.14 '2.. T"-X LOT NO: '* /1'J0
5U5DIVISION,
SPRINCFIELD
CA~
R:C:IPT NO, r160l>
CH:C< ~
O.:N:R, 1-4 A 5L. A
ADDR:55, 300 vJ ,
5TAT:, 6 R...
ll.OR< DESCRIPTION,
5!D:u..v...LK: ~
CURS-CUT:
(f7f2-1 /J-/-./ ~J..I A I"t:ll..)
,::;AIe...VltrfAJJ CITY, 6f'e/I4t-FIfr1?
ZIP, er1Lf71 P;..JON: NO.
'I'
C;..J:C:C:D FOR D:L1NQ;;~C::5
1-
cu;a 51DE _
~5rD~7IAL _
;= BACK
CO,~Cl=RIC.t...L
SECOND DRl\I'Etll..t. Y (5::= ~IC )
R:OUIRES APf'LICATlO'oI FOR A 5:COND DRIV:~A~(rr-".I.)
OR A COUNT"l" APf'LICATIO'oI FOR FACILITY F::~IT (C '38-7"'3)
IF IN TH: U.c,5.
5IG!'-2::1:
DAE 0;= AF>PUCATJo-J:
.-
f&.-I.> -9~
DAlE:
~=T;<ACTOR
'*
R:C;15TRATI0'0I NO.' -:>'<2.;7 ,
130 f? Ie
t'n-t.<".-f'>
WORl< TO BE FERrv"", u::D BY,_ OCN:R
Co:-.iTRACTOR* .q,-rA-rOJ-./ ("'/\I-1c:..1t!.vL1'tO/"/
.t..::lDRE5S 2-'1 ~fI~ 15 AI ?POR.f eel.
~""''''j..o'URE FOR IN5F:CTION REQUEST,
CALL 176-316'3 (RE=ER) STATE YO'.JR CIT"l" DE51C;~TED J05 N'..1;-;:3ER. ..109 ADDR:55,T':'P: OF
INSF::CTION REOU:STED A'JD u..lEN YOU ~ILL 9: ;<EA:>Y FOR INSPECTIO'oI. CONTRACTORS OR ~R5 NA.~E ".ND
PI-IONE N1JM9ER REO'.JESTS RECEIVE:> 9:rvr= 1,= "-'1 WILL 9: MADE TI-IE SAJ1E DAY, REa-JESTS "-=TER 1,=
A"1 WILL BE: MADE 1M: N::XT lU?R<ING DAY
EXI5TtN:; 5:.!IL~rNG PE~rT NO. ( rr AP'PLlCA6L: )
:XF'IRES,'3>-2.l- 96
P;.;o":,~r.,I- c;s ~~
q 5:/ tJS" I
TOTAL FERt1IT FEE,
I ~.A\IE .CARER.JLL.,... EXA"'1I:'XED T~=~PLETED APPLICATiON FOR PERMIT, ,,:'-""D DO ~EREB"" CERTr,:.,.. 7i-:.L.T ALL
INrO~ATIC'N ~EREON 15 TRUE A"'ID CORRECT, A'-lD I R.JRT~ER CERTIF.,.. T~AT A"l"" ~"lD ALL lVOR<. PEF5=O~ED
5I-IALL 9E DONE IN ACCORDA'JC: WITI-I TI4: ORDIN"-'JCES OF TI4E crn- OF SPRINcr.IELD. AND TI4: LACS OF TI4E
STATE OF OREGON PERTAINING TO Tt-lE ~ DEsc.~19ED ~.EREIN. A~D T1-I.4T NO OCaJPANC.,.. WILL 9E M.!.!:>E
OF ,t...o.",;y 5TRUCTU~ UJITI-lOJT PE~IS51a-.1 OF TI-{E 9UILD!NG DIV1SI0t.l. I FUR7~=R CERTI2r ":"~~T Q:\lL.... CO\iTRACTOR5
.<.ND EMPLOYEES u..l0 ARiO IN COMPLIA'JCE WITI-! ORS 10/-"'5" WILL BE USED ON T1415 PROJECT.
* ~== =~
.WJ__~
.,..OUR: Clll DE51G:NAIED J09 ~O. lsf
R=QJIR=D INSPECTIONS
~
SID:WALK I DRIVE~A Y
FOR ALL C=CRiOTE PAVING WITI-IIN
il-lE STREET R16!-fT or: -WAY. TO 9E
M.4DE .l.FTER All EXCAVATING
15 COi'"1PlETE AND roRM WO~
A'JD 5U9-9A5=. MATERIAL IS
IN PlACE
o
FEES,
SIDEWALKS
~10.00 + @.I51LF. ( X )
0;= WALK
CUR!3-CUT
~10.00 + @.I51LF. ( X )
~
/'
COMMERICAL DRIVEWAYS SI-!ALL
I-lAVE 5' TO 8' FLAIRS
3'- "'. STA'J:>ARD
SIGNED
DATE
.- CURS I APPROACI-! APRO
~R FO~5 ARE EREC7:
BUT PRIOR TO PO~RINc;
CONCRETE.
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