HomeMy WebLinkAboutPermit Sidewalk 1995-6-15
..r=SIDENTIAL - COMMERCIAL
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11,....0
225 NORTH FIFTI-I 5TR:ET
5PRINGFIELD.OR:GON S'4"
ENGINEERING DIVI510N
a.TICE NO. ,26-3,53
IN5PECTION LINE, 126-3'6S
JOB ADDRESS, e:;;qz.. Ii I tf:)r.)/AUU-r
-'-55E550RS MAP NO.*' 1'7 D~ ?"7CJ; 7 T-'-X LOT NO: '* I/O,,.....
5U5DIVI510N,
O=R, 1-\ A SC A
ADDR:55, 300 vJ.
5,AT:, 6 rc.
lJ..IOR< DESCRIPTION,
5!:>~;G ~
( &J?.I /J-J-/ 6>1-1 A 1"t:1Z..)
r:==-A IE'-V I '6\.1..../ C17Y, 6Pe/i-ft-F/&J1
ZIP, "f1Lf71 P;<ON;: NO.
CUSS 5!:>E _
=:: iE.ACK
CUR9.CJ.JT: ~5IDa-.:71~ _ CO. C ERICAL.
SE:c..oND DR1\IEl1J.,l.Y (5EE i~IC )
R:OUIR:5 APFLlCA7I0N?OR A 5:C= DRlv,oWA"-('T-4.1.)
OR A COUNTY "-PPLICATION FOR FACILITY PE~IT (C ':l8-2"'3)
IF IN TNE U.G.9.
DATE 0.= APFLICA7ION
h_Ir;-J?J
SPRINCFIELD
RECEIPT NO, /7$00
CA~
Cl-IEC< ~
.f,
CnEC<ED FOR DELINO"ENCIE5 !:.
SIG!'E:;:
PA.~:
150 e- Ie
ih_K:'-f'!>
WRK TO BE PERf'v"", ,cD BY:
OilNE~
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*
REC,15,RATION NO. -;l,!2,"1 I
CON,RAC,OR*' -'?-rA-roJ-i
=DRE5S 2..'1 '3'14 IS
r./\ /o.L€:(1t!.vCtll'JJ..I
AI f"Po/?f Eel.
EXPIRE5.g,~u-'i'''
P;';ONE,~~/_ ()S ~
..........C-l:vURf: FOR IN5A::CTION REQUEST:
CALL ,26-3'6S (RECORDER) 5TATE YOUR CITY DE51C:.'1ATED J05 NtJ:'15ER. J05 ADDRES5.T':'?E 0.=
INSPECTION REatlESiED A"lD lU-1EN YOU WILL 9= R::ADY FOR fNSFECTIa-.:, CONTRACTORS OR O~R5 N.l......::; t...~D
P~ NlJM5ER. R:O'JES,5 RECElv,oD s=c~= ,,"'''' "-'1 WILL SE M=E TI-IE 5A1'1E DAY. REOJES,5 .<.r'fER ,,=
....'1 WILL B: MADE ,~NEXT ~II-JG DAY
* ~== c~
~--~
.,...ou~ CITY DESIGNAtED J03 so. 1St
EXISTING SUILDfN(; P::~IT NO. (" rr APFLlCA9LE )
C??//\c;'?
REQUIRED INSF'ECTJ~S
[f
5ID:WALK I DRIVEWAY
FOR ALL CONCRl:TE PAVING WI,I-IIN
T1-lE STRE", RIGHT Q;' WAY. TO S:
M.!DE: ."FiER ALL EXCAVA,ING
15 COi'"'iPLETE AND FOR:1 WO~
A"D 5U5-5A5: M'<'TERIAL IS
IN PLACE
FEES:
SIDEWALKS
~10.00 + ~.15/LF. ( X )
or WALK
CURB-CUT
~10.00 + l-0.15/LF. ( X )
D
.- CURS I APPROACI-I AFRO
Ar-I"ER FOR'15 ARC ERECi:
BUT PRIOR TO FOJRING
CONCRE7E.
UJAL< x'
/ ""
t x' I.
" "
TOTAL F'ERt1IT FEE:
s
CO<1MERICAL DRlv,oWAY5 Sf.lALL
!-lAVE 5' TO 8' FLAIRS
3'- "'. 5T"-"DAR!)
, ~.l..vE .CAR:-FuLL.,.. EXA""1INED T}..!E COMPLETED APPLICATION FOR PE~IT, ~"D DO ~EREBl CERTrry 7~.l..T ALL
INFO~ATION ~EREON 15 TFaJE At.{D CORR:CT, A'lD I RJRT;";ER CERTIFY T~AT A'll ~"D AlL WOR<. PERrORi""iED
SHALL SE DONE IN ACCORDA"CE WITI-I TI-I: ORDIN-'-"CES Q;' TI-IE CITY Q;' 5FRN&.'IELD. AND T4: LAC.!5 OF TI-I:
STAT: Q;' OREGON PERTAINING TO Tf.lE Il.OR< DE5CRI9:D 4ERE'IN, -'-"D TI-IAT NO OCCUPA'ICY WILL S: M"<'D:
OF .t........:y STRJCTU~ U.Jlii--!OJT PERi11551D:"-! O? Tl-lE 9UILD!NC:I DIVISION. I FuR7~=R CERTIFY it..t.~T ONL Y Co-..IRACTO~5
.<.ND EMPLOYEES WHO ARE IN COMPLIA'IC: WITI-I ORS ,"'1.<2>55 WILL BE USED ON ....IS PROJECT.
SIC,NED
DATE