HomeMy WebLinkAboutPermit Signage 1994-5-24 (5)
-;I;-PERMIT APPLlCATlf s~. pYf~BE~'~" C/ f)~c:'{-\. -
225 F;fth St..,t ~ Inspeet;on Uno: 726.3769
Springfield. OR 97477 Yo._ ' Office: 726-3759
LOCATION OF PROPOSED WORK: --J' qC() e ~ Lfl.V.R~ (WI /'JF hew ;4rto)
ASSESSORSMAP:_0ffilc:q:;O' . 1 TAXLOT: rA~tJ:J
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BUSINESS NAME, FIRM ETC.:
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PHONE:
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STATE: f9iC
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.~. ZIP:
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OWNER:
ADDRESS:
CITY:
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DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
Wall Y;reestanding Projecting Roof
.....
Single Face. . Y'D~ubleFace
~~
Marquee
Billboard
Other
Square Footage:
". ^ 1.N\f1\. \ "
Total Height above Grade: ~ (/ ~
!r ( . ~ l_u(( r-
n Horizontal Width of sign or enclosure: - I ~
v -
Electrical Installation: XYes No f I f)lh 7J
(If yes additional permit IS required) V ALUE: (It t/ fJ
.~Wt- vNiJJ bL/ ,tlr f,+- raCe
f{P~vffll,^ t
LiLIA;"" .
Vertical Dimension of sign or enclosure:
Dimension from Grade II ,l
tc? bottom of Sign:. ...."
Material Sign is constructed of:
.!
List ALL eristlr'lQ slgnage and attach a photograph of aach sign:
(a) Type
Sq. Ftg.
'(b) Type
SQ. Ftg.
1,- '.
lc) Type
Sq. Ftg.
(d) Type
Sq. Ftg.
ADDRESS:
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PHONE: ~ Lf2 - t 76 0/
CONTRACTOR/INSTALLER:
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CITY: ~ ~ek:t . _ . STATE:
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: _ h 4 9J {(
CITY BUSINESS LICENSE NUMBER:. 0\ 3m ~ 0 ~
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ZIP: ~ "l lfJl2
EXPIRES: ,~ ~C\ ct..,..)
EXPIRES: (Q. 3l) .41__
. ',..
OFFICE USE
Sign District:
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0rffifnOrrlt7Land Use: ,-'53(Y} Quad Area: \~J~)( U
Code Section~ q - '7 - I R~' Q). _ _ ~ ~
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Appmv.d By \..\ ):1), _1. ~ \ W(,JTE 4 .(1 J' f-
,
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS:
X Site X' F'ooting Attachment
to 'be niade prior prior to placement after fasteners are
to sign~acl~nt L of concrete G installed/prior to cover
Ven A.D CQCI' . -- J... .. r1 '\
Ad<1;I;o I omm,nlS .nd~~rd,"d;uon" 01 r r-r )
Y Electrical
p(.or to energizing
VFir~ill '
completion of sign
installation
.~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereir
is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinilnces of the City 0
Springfield, and the Laws of the State of Oregon pertaining to the wo.rk described herein. I further certily lhat 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, that project address is rCiIlJilble from the street. lha
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 installatiol
of the sign(s).
Signature
~~
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c?'v
Date
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Receipt Number:
I.'J ) .OJ
! a93 7"
Date Paid: 5~~~
_ R,e,;"d By, \.~.
Validation:
Amount Received: