HomeMy WebLinkAboutPermit Curb Cut 1993-4-13
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__5IDENT11~~:-1 ~~~.~CIAL
APPLICATIoN I PERMIT
225 NORTI4 FIFTI4 5TREET
5PRINGFIELD, OREGON ~1411
ENGINEERING DIVI510N
OFFICE NO. 126-3153
1N5PECTION LINE. 126-316~
Joe ADDRE&&. g 4-& PJ!fE75C077 ~,4}Je
A55E550R5MAPNO.* /7-03-34-(2.- TAXLOTNO..'4-1CO
SPRINGFIELD
RECEIPT NO. oog ({ 7-
CA5I4
5UBDIVI5ION.
CI4ECK
O\LNER. ff(;;)J
ADDRE55. g 4-B
5TATE. o().G',
liJOIOlK DE6CRIPTION.
VAIJIJ€RB€CT
Pl2.l:SC07T LAlJEclTYo 5fJ,(!/IJV/~t.P
ZIP. 174-77 F1-lONE NO.
.
CHECKED FOR DELINQUENCIE5 ..=.
5IDEllJALK. CURB 51DE -X-
CURB-CUT. -K RE51DENTlAL $-
5ECOND DRIvEWAY (5EE TRAFFIC)
REQUlRE5 APPLICATION FOR A 5ECOND DRlvEWAYrOf-4.1a>
OR A COUNTY APPLICATION FOR FACILITY PERMIT (C ~-21Z>3>
IF IN TI4E U6.e.
DATE OF APPLICATION A-j?/2./t. q, I q9 3
5ETBACK _
COMMERICAL _
51c.NED.
DATE.
WORK TO 6E F'E~0f;iI fED ey.
CONTRACTOR* GARY p, MMT/N
ADDRE5& 4- 4--4- N. 33 RO
O\LNER X CONTRACTOR
REGI5TRATION NO! ?7(e,?~
'5P/LIN6/CIE"LD O~c,
,
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i3~T~
+It"hff
EXPIRE5. 4-117 jq 3
,..,,~~. 74-7-'4-9
.-..........aDURE FOR IN&FECTION REGlUE&T.
CALL 126-316~ (RECORDER) 5TATE YOUR CITY DE51c.NATED JOB NUMBER. JOB ADDRE55'TYFE OF
IN5PECTION REQUE5TED AND ~EN YOU WILL BE READY FOR 1N5PECTION, CONTRACTOR5 OR 0\LNER5 NAME AND
PI40NE NUMBER. REQUE5T5 RECEIvED Bcr....""" 1."", ,.1M WILL BE MADE TI4E 5AME DAY. REQUE5T5 AFTER 1."",
,.1M WILL BE MADE TI4E NEXT UJORKING DAY
* 5EE BOOK
EXI5TINc. BlJILDlNc. FF.~IT "0. ( IF APPLICABLE)
YOUR CITY DE51c.NATED JOB NO. 15f '1 30 4~ 0
REQUIRED IN&FECTION&
51DEWALK f't5RlvEWA.;:)
FOR ALL C\....!..'-'~IC rAVING WITIo.UN
TI-IE 5TREET RIGI4T OF WAY, TO BE
MADE AFTER ALL EXCAVATING
15 COMPLETE AND FORM WOI<K
AND 5UB-BA5E MATERIAL 15
IN PLACE
~
D
FEE&.
51DEWALK5 CURB-CUT
.1"'."'''' + W.l5/LF. ( X )#fY .1"'''''''' + W.l5/LF. ( X) 25'
OF WALK
TOTAL .-10.... ,IT FEE.
.
i 3,75
COMMERICAL DRlvEWAY5 5I-lALL
I4AvE 5' TO 8' FLAIR5
3'- IZ>' 5TANDARD
(CuRe /:,AFf'ROACI4 APRON.
.....-no.... FORM5 ARE ERECTED
BUT PRIOR TO POURING
CONCRETE.
WALK X'
/
I-
.,
x'
'\
I.
'J
II4AvE CAREFULLY E)(,.IJ1INED TI4E COMPLETED AFFLICATION FOR PERMIT, AND DO I4EREBY CERTIFY TI4AT ALL
INFORMATION I4EREON 15 TRUE AND CORRECT, AND I FURTI4ER CERTIFY TI4AT ANY AND ALL WOI<K PERFORMED
514ALL BE DONE IN ACCORDANCE IlIITI4 TI4E ORDINANCE5 OF TI4E CITY OF 5PRINGFIELD. AND TI4E LAW5 OF TI4E
5TATE OF OREGON PERTAINING TO TI4E WOI<K DE5CRIBED I4EREIN. AND TI4AT NO OCCUPANCY WILL BE MADE
OF ANY 5TRUCTURE WITI40UT PERMI5510N OF TI4E BUILDING DIYI51ON. I FURTHER CERTIFY TI4AT ONLY CONTRACTOR5
AND EMPLOYEE5 ~O ARE IN COMPLIANCE WITI4 01'15 11Z>I,OS5 WILL BE U5ED ON THI5 PROJECT.
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DATE