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HomeMy WebLinkAboutPermit Fence 1991-5-23 - .' , ::....;;:. SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 -* Job Location: 5~t,o lJA-iSU Y I I Assessors Map #: /:e 0"- 0 4-1 { ,.. --', . ( . ~, Owner :..J.A) .-r/ l-tAf'I<b'1 -:.J'-Y' \ Address: ~lt, &0 D4-lSi1 :t:r- f I I City: ~ r [ . State: \ . Value of Fence: *' 30(0" c:00 S P L .(!)f2A:5 q (J\ ~ . .,.- v Tax Lot #: tof 1.01 Phone #: I L/ C:, - R, C'7 Ot2.GVi n... Zip: q 7' tf t ~ ... Fence Permit is $5.00 Contractor/Installer: E.A'd- ~ePt0\.S Address: /;~- ~~-=C- /(fW~ ~") City: ~'{l{ . State: C!J.t.E NfA- Phone #: ' I Y f- - S- S ~ ~ ZiP:_chV77 Construction Contractors Registration #: Expires: By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also state that all information on t~is application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. )Y\~ ;..., ~ (L;.. ,vf;" ^'^, " Signature . ~ s- - d-.3- c:r \ Uate . . FOR OFFICE USE ,.' Date of Application: 5 - 2-,J-Cf { Job #: q/nS']z,... Receipt #: 7-0\'43 Issued By: ~J:cA-. rJ.(( 'Il Total Amount Collected: ~,OD Checked for Del inquencies: IAJ Checked for Historical Status: LWA uJ o