Laserfiche WebLink
_,..~ ~~-.... .?.-.~ .-..-. ~ ---m.~ ~.. :.~.~y.,' ,~n a~.:~'~ • t e ~ . _.. . . . . .. <br />. . . . , . . . ::ry . . . . ~ . <br />.~~ PID 1 2 2 1 0- 7 5 0 <br />, <br />~s .r ~ p.a. . . <br />~ . CONSTRUCTIONIMAINTENANCE PARKING PERMIT <br />C~ty of Salem <br />~ 5~~~6~5~ Permit#: ~t~~,~ ~ <br />. `~' _. ~--, , <br />~ ~- ; : ~- ~ ~ <br />~ Fee• <br />~~ ,,~'~.,._.~t1 r_ ~ ~ <br />(permit application center) ~ ~--°~ " ~ . <br />6 <br />~ ~ ~..{ ~-_' <-t-: t„' ~ J <br />A IicanYs Name Cornpany: ~''` +~. Yi ~i'"'z ~~-> .~ G t' ! 1 f-~~-~" - <br />PP ~~~ r~t ~.. f~-~ c~ !~ 7 ~? ~~: <br />.~~- ~ .~c~,., <br />Address: !r ., ~ 1 y ~ w" ` Phone: _...~~~.~L~.c,.~--'~3~'-~-- ---~- <br />~ <br />Vehicle Owner 'l Phone: - <br />~,.~,..~~ ~-, ~`":~-~ r- (~~/ ~ -' <br />Vehicle Make: Made1: Year: License # <br />Vehicle to be parked at: ~` ~ '~ ~ # ~~~ ~~ ~T ' <br />Effective Date: From: ~~ ~ ,,L~'~ '~ to ~"t ~ ~ ~~ ~ ~ <br />T <br />Parking Times: From --~ ~-# ~ ~~ ~ t~ ~ <br />3 <br />Reason for Permit: ~ ~ 1`'r ~ ~' t ~ ~~ ~ )L' ~' ~" ~ ~~~~~%~~ 1~ Y~ i ~~ ~''~~ C~. ~~ ~ ~~~ ~ <br />Street Blocked: Yes No ~ Number of~lanes to ba used: ~,,,. ~~~-~ ~----- <br />(If yes, Police Dept. review required) <br />' Special Provisions: <br />; <br />~ NO PARKING IN 30 MINUTE SPACE, LOADING ZONES QR D15AB4ED SPACES. MAINT'AIN A <br />;( MINIMUM 30 FOOT CLEARANCE FROAiI ALL IWTEi~8ECTI~NS., 3 <br />i <br />~ PROTECT PEDESTRIANS AT ALL T1MES. : <br />~ All information provided is correct to the best of my knowiedge. I wiN abide with alt laws and ordinances , <br />~ applicable, and am responsible for the vehicle issued this permft. ft is your responsibility to barricade spaces <br />in advance. <br />Applicant's Signature: Date: ~""'•~ 1 ' ~ ~^-- <br />i ~ ~""' <br />Received by: t~~~~; <br />I '„ ~/~/~ <br />t Approved by: <br />{ <br />F . ~. - . . . . . . . <br />~ Special provisions: ~ <br />' Rec'd by: ~~_._.1 Issued by. ~~~L1~'~~I <br />~ ~~ Original: PAC Yellcaw: Parking Enforcem~nt Pink: Applicant <br />~ ~ Printing Divlsion 02/7W57 <br />E <br />t <br />i <br />~ ~ ~ ~ <br />. _ - <br />~ -, <br />