HomeMy WebLinkAboutPermit Signage 1994-5-24 (3)
SIGN PERMIT APPLlCA Tlr-,
'~~~~j1fO q4()8~~
OWNER:
225 Fifth Street
Springfield, OR 97477 ~
LOCATION OF PROPOSED WORK: {~~
\:l,Do\'t:CD
5MV:1 I{ 'Ii? f fu /11 ,; t{~ t-
f/(2()\ .~,-IJ1/.. Cve~hr.de
, t?p,aV{lrtflh
STATE:
5~aV"L \~
PHONE:
/Wt7
(fJr(
teOJ +nW-//i h 1-
S&lik
\ v
r . ZIP:
. ..
o
Ii 71JIJr
ASSESSORS MAP:
ADDRESS:
CITY:
I3USINESS NAME, FIRM ETC.:
,
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Vwall . Freestanding Projecting Roof
~
Marquee
X'Single Face ' :
Square Footage:
" .,"\
Vertical Dimension of sign or enclosure:
Double Face
p'.7t~ 'Ji
;2~lt
Billboard
Other
Dimension fro~ Grade II C ///(
t~ bottom of Sign: ' L ~ .:
[lJh.-h'n. OIJ-S
Horizontal Width of sign or enclosure:
Electrical Installation: Yves No
(If yes additional permitls required)
VALUE:
,'- Df' ,~
7{-/f)t'f
1 J, ooD
Total Height above Grade:
Material Sign is constructed of:
WI'"f1
~I
/,vI #It~
I ,
&e
List ALL e~isting signage and attach a photograph O~Ch Sign/
(a) Type Sq. Ftg. rl'~ (b) Type
(c) Type ' '. Sq. Ftg. ~ (d) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/INST ALLER:' ~~~
ADDRESS: Zf}Y. ::W)fI-f"j AI-.
CITY: (; '^1lt\{
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
&N.
f HrP (J I:-
'!#!~{
I
PHONl:: ,?'-tl--{ ~ /,&/
- ,
STATE: ()~
/f) lito (~
.::. ....
ZIP: q (lf: 02.
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
Sign District: ,~
Zoning: ~~
4fJ.CV
C.lxnJYlRfLand Use: 5--=1.:{)
q--rl-I
Code Section:
Approved By: hill ')
)
( (1 NUJ
V_
OFFICE USE
Sign Permit Fee:
s.{&4i
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placemel.)t
Footing
prior to placement
of concrete
V Attachment
~asteners are
,installed/prior to cover
<31~ F,
X Electr'ical
prior to energizing
V Final'
~tion of sign
installation
Additional Comments and/or Conditions:
..t,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information he rei,
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 tllll
employees who are in compliance with ORS 701.055 will be used on this project.
I
I further agree to ensure. that all required inspections are requested at the proper time, that project address is reiluable from the slreet. thil
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 rnstallatiOl
of the sign(s).
Validation:
,z~1'-.--=- c/~
Amount Received: L\O~
Receipt Number: __ _ ,,~qa1
Date '3 -II.{ -vt'1
Signature
Date Paid: q~~-.S~ _-
Received By: dJ {~