HomeMy WebLinkAboutPermit Signage 1994-5-24 (2)
ASSESSORS MAP:
SIGN PERMIT AP~~'I~~~I~~:~- sr_~ W48 N~1~"$Aq"'5~
22' ';"h SVeet ~ InspecHon Un" 726-3769 ~
Springfield, OR 97477 y.. Office: 726-3759
LOCATION O'PROPOSED WORK, -, qQC) ~~~ ,-(l:N.t fJF A-lD)
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OWNER: Sh~ .,~.. ReJl-a{M-m,~t
frZ D.r 5. L/. C vpek1t/!e
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PHONE:
ADDRESS:
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S04if
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BUSINESS NAME. FIRM ETC.:
S~aV'~ I~
STATE: tJl?
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r .ZIP:
t/t'7lJfJj
CITY:
. ,< .
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete i111 appropriilte informiltion)
Y'wall Freestanding Projecting Roof
~~ 'I
-p- Single Face '. i' ... . Billboard . Other
Marquee
DOUble.. Face d.'
Square Footage:.' 'Z//.. ~I! ILl
,
~u {(
Vertical Dimension of sign or enclosure: ~J
Total Height above Grade:
ff(1
~2{l
Dimension from Grade
t~ bottom of Sign: '
LJo'
VALUE:
(~,' r
12. St)/}
Wt.?h. ~.
Horizontal Width of sign or enclosure:
:1, t',
Electrical Installation: YVes
(If yes additional permit IS required)
No
Material Sign is constructed of:
A l t.(,Wllh IA .M
.~tL1
wi
l
JtJtl(r-
,
(Pte
List ALL e?<isting signage and attach a photograph of each sign:
(a) Type
Sq. Ftg.
17\... ----fbl Type
~ (d) Type
v
Sq. Ftg.
(c) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/INST ALLER:
/fff)J. Siq~ (
,5f,,/ ~f-
PHONE:
341- t7(fJ~
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2.. fJ 4 J f?/llr (0'"
. , ; ,
CITY: e: 1Ab1./lL I.J STATE: Ate
, -~ ~ ..-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER . No- (f'-tfRt{
CITY BUSINESS LICENSE NUMBER:. ~0>~
ADDRESS:
ZIP: (4~,..........J
EXPIRES: (3" g :..~ _
EXPIRES: f Q' 3D_Ef_~~__u_
OFFICE USE . . '\
Sign District:.:r~~ (\N\\ D1 Q L Land Use:. b 3,m Quad Are, /0 JULcJ
Zoning: 0 l' ~ _. Code Section:~ ~ "1- _ \ p)( \. )' _
~ CD Approved By b to.) ~ h'iW ( ;ATE' ~ · ill 84.
:i
-',
Sign Permit Fee:
REQUIRED INSPECTIONS: .
Site Footing X Attachm~nt
to be made prior prior to placement after fasteners are
. to sign placement ... of concrete 0 dn stalled/prior t..o~ver
Additionill Comments andJor Conditions ~( r ~ () )
'- L ~
K'Electrkal
prior to energizing
~
____ Final
completion of sign
installation
. ~.
By signature, I stilte and agree, that I have carefully examined the completed appliciltion and do hereby certify that i111 infornliltioll !:lereil
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 wotk described herein. I further certify that only contractors ani
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. thilt project address is readable from the street, thel
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 rnstallatior
of the sign(sl.
/2~
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Date
?-14-ctL{
\
Signature
Receipt Number: _
4fl.LD----
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-~:~:..paid: 5.~ .q~-~..
_ Received By: ~ I ~ '.J
'-' \~ /"'-
Validation:
Amount Received: