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HomeMy WebLinkAboutPermit Fence 1994-10-3 ,,!r '''~IE1?~@;;J:Ii'@1jo ~}'o~ 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: //'7S' ~~~ ,. Assessors Map #: /'7,,-"7- Z 6- (/Y Owner: /~-t~~/ ~/ ,*.-L,~) //'75 ~ CitY:--+//17~"U State: a4e''1'-f-~' Zip: Value of Fence: ,~'~~. 7.3 Fence Permi t is $5.00 Contrac tor/Installer: 4:i'7.r ~-t'fi -'<:'<'1'_ .,{J, / ~ _ Address: ;{J,,1 L5>~ ?' /7 Phone #: ~? 9 ...... S- 2/ J ~ .- City:;::dM4 F~ff~State:-d-/~ ~Zip: q7Ys~s ~ _ Construction Contractors Registration #: '7~.!i-ifR" _Expires: 4/- 9"f.? ' Tax La t #: /2.6 ""t!> Address: Phone #: ~g~ - ~.2. ? 0 ~~ '" ", , , " " ; ~. :..." ~. . Dy signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards., ./}f ~ . / ~LA~/~ C!- ~a(W:-~ '7 Lk~ /cJ- Date .3 - rv FOR OFFICE USE Date of Application: ~/&>-7~ y Receipt # /Y9?Z$ Issued By: To t~l\~~moun t Collec ted: ..... , \~ ,....'~ ~. ,- ~... JOB #: ' ~V/~~ , - ~~__ -r /"r ~ Checked for Delinqupn~ies: L..------ Checked for Historic;!l Status: (