HomeMy WebLinkAboutPermit Signage 1994-5-24
OWNER:
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SIGN PERMIT APPLlCATlf 'srni~ '1 ...."Q)L-.;:)S
225 F;fth 5'"" ~ ,J 'U::::ct;on Un" 726-3~9 '
Springfield, OR 97477 'D' _ ^ ..r ~ r _ ., ,~O fice: 726;3759
LOCATION OF PROPOSED.WORK: ~ .q[;()~)LfLV ~(+ ~j:"" .AUY
ASSESSORS MAP: /0631 ~ (x) 'I TAX LOT: jf}:1(](J
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PHONE:
CITY:
STATE:
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.:..-. ZIP:
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ADDRESS:
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BUSINESS NAME, FIRM ETC,.:
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DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
V Wall
E~
V Single Face '.
(:. ~
Square Footage:
Freestanding
Projecting
Roof
Marquee
Double Face '
Billboard
Other
VALUE:
, (<I
/41
1{ 2_ flJ lJ
.
Jkw..
Vertical Dimension of sign or enclosure:
?{).~'ttJ4'
-Z(~ /Z,tf
Total Height above Grade:
Horizontal Width of sign or enclosure:
Dimension from Grade /1 ( Electrical Installation: )(" Yes
to bottom of Sign: . L1P (If yes additional permit'is required)
Material Sign is constructed of: ~l~[~(J\M Wf' wlfilJk (it./! -
No
hep~
List ALL e?Cisting signage and attach a photograph of each sign:
(a) T~pe . Sq. Ftg. ~) Type
L7
Sq. Ftg.
\, \,
<C
(c) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
CONTRACTOR/INST ALLER: (tJM/h !fro! . s~
ADDRESS: 20'1 . -JRf{(Jt-Jn", ~+r'pf
CITY: f; lAlJI",p . STATE: Or(
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CONSTRUCTION CONT~ACTORS REGISTRATION NUMBER: (r; 4. bJff
CITY BUSINESS LICENSE NUMBER: q0mt ~3
PHON\:: 3f..[ el7 ~q
ZIP: 0 '71{ b Z.
EXPIRES: r3 ~ q" .Cl,,~
EXPIRES: CO 0.). q-~_______
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. . .
OFFICE USE
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Sign District~ -0 (TlrLm 0 I Land Use: 53C(:J Quad Are\.
Zoning: (~C /' '_ -. COdeSection:\ q-1-/~L.I ")
S;gn P"mil F,,, 4n (X"..J App,ovod By: illQJ ~~ .ftATE:
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REOUIRED INSPECTIONS: \/
Site Footing ~Attachm~nt
to be made prior prior to placement aftei~-steners are
to sign placement :.. of concrete (~~l" installed/prior to cover
Add;hon" Comm,nts .ndlo, cond;hons~ (1--)
><::;Iectr-ical
priol to energizing
\./Final .
~tion 01 sign
installation
.a.
By signature, I state and agree. that I have carefully examined the completed application and do hereby certify that all inlornwtion hereil
is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City 0
Springfield, and the Laws of the State of Oregon pertaining to the wo.rk described herein. I further certify that only contractors an
employees who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure. that all required inspections are requested at the proper time, that project address is readable from the street, th;
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the Installatio
of the Si9n(S).
Signature
~A'~
Amount Received: q{) ro
1~-q3?
Dale
:r-/l{-qy
Receipt Number:
Date Paid: ~ ~~
..teceived By: ~~
Validation: