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HomeMy WebLinkAboutPermit Building 1998-4-13 . ,~. SIGN PERMIT APPLlCATIOI\ 225 Fifth Street 97477Jl~ -~p. L~ ~40, Springfield, OR.rJ ~ <:';1'1 SITE ADDRESS: ~ lI.i StR '1{)r ASSESSORS MAP: -11 0 ~ / "'5""" c:700 Z- ~~ · _ _ _ .. . , . TAX LOT: I.....&.J~ c I OWNER: 6l11Jt4f'> 6, &tef}~~ ADDRESS~lfOb fP/J.!.J)Lf Vtf:!Io.f>>. CITY: I 7fr<.-~ STATE: 0'1/- BUSINESS NAME, FIRM EiC,: ~ nGD ~Vl~ v?r-w\-lLt;;(_CAJvLtL~ SPRINGFIELD JOB 'ABER qzsoql ~ j . Inspection Line: 726-3769 Office: 726-3759 I, PHONE: '1'fIR/~'it:/'I I I I q1%1 ~\Jl- N(2,. 1CeJ\G-'l\+ I ZIP: DESCRIPTION OF PROPOSED SIGN(S): (please cneck and complete all appropriate information) X Wall X Single Face Freestanding Projecting Roof Marquee Double Face Billboard Other 2q(~~1 lOj Square Footage: , '2--5 ~ Total Height above Grade: Material Sign is constructed of: ('/ I, (I t.- to , Horizol}t~ Width of sign or enclosure: C8. \ /21 ' Electrical Installation: Yes No VALUE Or? I oQ p (If yes additional electn al-p-&mit is required) OF SIGN: CA:../(O'--- SI1t~ ~~L-~ A~~i~e.o~ -' L.e)(AN~-'H&J~L- VAt NT- (WORE5,~NI'S I Vertical Dimension of sign or enclosure: Dimension from Grade to bottom of Sign Enclosure: List ALL existing signage and attach a photograph of each sign: (c) Type Sq. Ftg, Sq. Ftg, (b) Type Sq, Ftg'. (al Type (d) Type Sq, Ftg, PHONE: 42;t;:;r5'.S4-lP ADDRESS: l2-5-r- A I =fwc. I '~ OAlL-P~4~tf\:) I ,.,- __ A v rJ~ . CITY: t:::::U~ 5 _'lUl'f!a t...'"IIM,'). ~q~~~ . Q~-4. ' CONSTRUCTION CONTRACTORS REG~Al~&6~~: ~l Z;f- III 'h~ (0 CITY BUSINESS LICENSE NUMBER' ,. t;!ItZl 1)'/'IfIt: /~, ~/OD O~h.- u~,.. ~O~ . )F~~ ~ ~ ~ _~\~ Land Use: .!:) ~\J() '(J ~Ol? I O~uad Area: . Code Sectio~: \ . R .2.-CSl, (YL. ') Appeoved By' t~(]f l1..--l0 STATE: O~. CONTRACTORIINST ALLER: EXPIRES: ZIP: 0I.1l-\. 01- '1-/q~ ltt/1XJ / qe EXPIRES: ~ign District:~ 1: :s ~t / ~\)~ \ \0~ l\t ) Zoning: DATE: Sign Permit Fee: I' Site to be made prior 1:0 sign placement Footing prior to placement of concrete v/ Attachment after fasteners are installed/prior to cover V Electrical prior to energizing electrical installation V Final completion of sign installatioll HEOUIRED .INSPECTIONS: Additional Comments and/or Conditions: . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herE 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 Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors a 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, t 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 installat of the slgnlsl. ~ J Slgn,,",e ~,~~~~fr4A, INr:ate 411/. ~ V,lldation, Amount Received' - (3 .1.0 . gate Paid, J ,4- \3 - Y 8' Receipt Numbe" jC\ L. (( ) Received By' lJ\\~