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HomeMy WebLinkAboutPermit Fence 1997-7-9 ~. ... SPRINGFIELD ........,..__... F. .I!ii..i:Il..] Bt::i;J -11 'l cj;t l::j ~X.Elt 1 :t.dEHJ"'<'rw;'~. "" W- .' n i '1 '_:'.\~"'\'l." .-~._.',:.t1-:.,'.,'~ .,,0.',,", p~ ," .':.:....'.!.,. ~tW ' FENCE PERMIT APPLICATION CITY OF SPRINGFIBLD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 -- Job Location:J'c1>:? f!..or<",., 1.-7. - " Assessors Map It: 1'7- 0 ~ - 'S t: - /1 ,0_- Tax Lot It: 1101 Owner:-E IIA/h <;~I.,,><..). -C- ~ Ci ty: ~d'4"'" :/ of Fence r 7/O;fJ" Cl> State: ~12 Phone #: ~g'r-?-/,('7 Zip: 97~'7 - Add ress: rP_c> R~ ') 'i t; ') Value Fence Permit is $5.00 Contractor/Instal1er:~.r~ ?~-/eR.'\t')/Y' (d6n- in -1..a0'0 ~ /.. >i" Address: //13'ft? A/', "'j;h - <. W Phone It: 7d?b- C?.5ZX! . cOr.-- Zip: tF~7R A/'/l Expires:./1/4 Ci ty:~\~Y'~.>l #-eid State: const::""tc'tion co~r~ctors Registration It: .... . Ily signing this permi t/applic,ation, 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. x. ~ dJ A.. " </~ ;_-" Signature4-t'VV'V! ;' ~A. I'" 'r _ tJ._ (:;-7 Date FOR OFFICE USE . Date of Application: ~I /3/1 f- Receipt U fJ25/4-3' Total Amount COllected:3.~ ,OD Checked for Delinquencies: n(j;lc Issued By: Jon #: C?7D7i/4 ~. m /)A-- Checked for Historical Status:n~