HomeMy WebLinkAboutPermit Sidewalk 1994-11-22
!;~O
,
~5IDENTIAL - COMMERCIAL
. SIDEWALK I CURBCUT ...
AF!"LICATION I PE~IT _
225 NORTf-I FIFTf-I STREET
SPRINGFIELD, ORE6ON ':>1411
ENCEoINEERINU DIVISION
OiTICE NO, 12&-31!>3
INSPECTION LINE, 12&-31&':>
JOB ADDRE5S. 11 t1 P'rf':'\CO tt-
ASSESSORS MAP NO.*" I, /") ~ '1 7 '-II
SU6DIVISION,
H Acs A
ADDRESS, _:? 0 n LV.
STATE, Oe..e &-otJ
llJORK DEecRIPTION.
~
ou.NER,
Fa;....V/id.(.1
ZIP, q7477
DATE or AF!"LICATION
/ t!JJ!91
UlORK TO BE F'E~"", I~D BY.
CON7RACTO~'* STATO~ r',QMt, r~(;..
ADDRESS :J.Cf3'N ~1? ~.
,r;v.....c:DURE FOR IN5FECTION REQUE5T.
RECEIPT NO,
'-1<
TAX LOT NO. 10\
SPRINCFIELO
/ S"S-.>~
CA~
Cf-IECK ~
CITT'S"p;-;"U+.i.clJ_
P;..!QNE ~'
'*
Cf-IECKED FOR DELINGlUENCIE5 v/
SET6ACK _
COMMERICAL
SI6NED,
DAiE;
Ol!.NER
x...
CONTRACiOR
~
EXPIRES,. ?/J.I.jq<'l
P;..;ONE, Jf.fIJ) -OS~
CALL 12&-31&':> (!'SCORDER ) STATE 'l"OUR CIT'l" DESI6~AT:D J06 ~U:-;5:R, JOS ADD!'SSS,7'l"PE or
IN&F'ECTION REaJE&TED ~'lD WMEN YOU WILL 6: REA!)Y FOR IN5PECTI0\l. CONTRACTOR& OR ou..NER:S Nt...'1E .4.'lD
p~= NUl'19ER. REOJEST5 RECEIVED S=rv~ 1:0a:> ,l,."1 UJILL BE MADE TI-lE SA...,E DAy. REQUESTS t.FTER 1;00
AM WILL 6E MADE TI-I: NEXT UJOR<INc-. DA'l"
SIDEWALK, CURS SIDE _
CURS-CUT, !'SSIDENTIAL _
SECOND DRIVEWAY (SEE TRAFrIC )
!'SGlUIRES AF!"LICA7ION FOR A SECOND DRlVEWA'l"('T-4J.)
OR A COUNTT t.PP'~ICA7ION FOR FACILITY PE~IT (C ':>&-203)
IF IN THE U.c..s,
RE6ISTRATI0~
*
NO, 033.JJ
97'-f{):J
* SEE BOOK
EXISTINc-. BUILDING F::R:-1IT NO. ( IF APPLlCA6LE )
'l"OUR CITY DESI"~A7ED J05 "0. ISf- Cjq I tbOc..{J
~
E UcJ~P.
I '
Ol€r.
m'DEWALK I DRIVEWAY
FOR ALL CO~C!'STE PAVI"" WITf-IlN
Tf-I: STREOET RI"L.lT or WA'l", TO 6E
MADE AFTER ALL EXCAVATIN6
IS COMPLETE A'lD FO~ UJOR<
A'lD SUS-6ASE Mt.TERIAL 15
IN PLACE
REQUIRED INSPECTIONS
FEES,
SIDEWALKS
~I"',"'''' . ~"'.I:;/LF. ( X )
Oi= WALK
TOTAL PERMIT FEE.
~/L/.CO
D
CURB-CUT
~I"',e>'" + ~.I:;/LF. ( X )3;;,
~
COMMERICAL DRIVEWA'l"S S;"!ALL
;"!AVE !>' TO 8' FLAIRS
3'- 0" STt..'lDARD
,
I
CURS I APPROACL.I APRON, -!
AFTER FO~S AREO EREOCTED
BUT PRIOR TO POURIN6
CONCREOTE,
WALK X' 'I
/ ""
.t X' j.
"
1 i-IAVE CAREFULL'( EX':""'1INED TJ-J!: COMPLETED ,AFPLlCAilo-J FOR PE~ii. ":""JD DO ;...;ERESY CERTIFY 7~t..T ALL
!N::ORMATION j..lEREON 15 TR.JE t..~D CORRECT. A'lD I FURTl-lER CERTIFY rj..!.kT -:"'lY ~"'D ~LL lJ.iClRK PE~O~ED
Si-IALL 6E DONE IN t.CCORDANCE WITf-I TL.lE ORDI~"-NCES or Tf-IE CITY or SPRINc-.FIELD. AND T;"!: LAUIS or TL.lE
STATE or ORE60N F'ERTAININ6 ;0 TL.lE UJOR< DESCRI5:D H:REIN, "-'1D Ti-IAT NO OCCUF'''-'lC'l" WILL 6E M"-D:
or ANY STR'JCTURE WIT;..!OJT F'E~ISSION or TI-IE 6UILDIN" DIVISIO~ I FL;R;I-IER CERTIF'l" ;L.lAT ONL'l" CON;RACTORS
"-'lD EMPLOYEES Wf-IO AREO IN COMF'LIANCE WITI-I ORe 10I.l:>!>!> WILL 6E US:D ON TL.lIS PROJECT.
516NED
JJ~~
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II I d :if q tj.
DATE /