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HomeMy WebLinkAboutPermit Fence 1993-9-1 - ~i .' SPRINGFIELD .... ~ ~ ',.,'..,. "'c,"k~:"~;y;,;,,,,;,'>.~'i' -~b . 'r?~j, ,"_"'3..,)'i\'~-"i~,' 'i':..~~~,:I:"\,.:~~:.;;__:,:?-':":/~ ,", .'-'~-':""'~' ' ", .~~".~.".,!I> FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: 1;( 3:2. ~~/II___1:'..P Assessors Map #: //~o3""~tC...~~ Owne~:))tLu.e.- ~ Address: /~3~ ~~ Tax Lot #: I/~ City: S~ (;'()j) # Value of Fence: ~~~ State: ~.O">-\ Phone #: 14'- -;(395 tJuz.k.- Zip: 97f./77 Fence Permit is $5.00 Con trac tor /Ins taller: tf2,.-'i!...aAYo, ::I~R. 6b. p Address: PO B<rl' 36 cl ty: .;5~J-{ ~'.P..IJ Construction Contractors State: ~ (/ Registration #: l!/10k, Phone #: 1VC, - i:J:?~ Zip: 97C/11 Expires: /Z;1f/ I By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I.also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. ;p~~ Signature c? Ii jtJJ Date' / FOR OFFICE USE Date of Application: Receipt # / ~/'?? Issued By: JOB #: ~'3 /$Y~ ~~ *J-/J:7 :S Total Amount Collected: ~tf?'"' Checked for Delinquencies: c...--- Checked for Historical Status: -----