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HomeMy WebLinkAboutPermit Fence 1993-8-16 . - ,- , \ .~, . .-....-,..:.,.". .... . . ' FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: J tJ d& ~Rt9 /(/AI/C' .~4-/fJ0 Assessors Map #: Tax Lot #: Owner: /}fo.. 21171#1 c~d/I . Address: ,2 0 .')b K/JA/IV/'€ .LA-ve Phone #: City: c5'O.tJ/4L.a";::;~// State: f0Jee.o/J~ Zip: / -- I oA "'cd, . t Value of Fence: C-~~ Fence Permit is $5.00 Con trac tor /Ins taller: Ac.m/.A//.d~ ~~ v /:.. I Address: ji/tf!Pff '7 I 1 City : ?n~-d::? t:L?t :I- . /~ ~ ~~ ,l\f ~ /J///./____ Phone #: 744/ - GJ 3'~g-" State: ;fj~~ I ~ c8 ?h.ztv:xpires: ~ Zip: Construction Contractors Registration #: f}~P- - 9~ By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. 5&11 ~ ~-/&'--;?3 Date FOR OFFICE USE Date of Application: B . \r') .S-~ \ rO~ i: C1'3 \FlRlL<2 Receipt i qC{fJS ~ cJ, - Issued By: 'm\,fJ~ Total Amount Collected: ~ Checked for Delinquencies: Checked for Historical Status: