HomeMy WebLinkAboutPermit Fence 1992-2-11
.
FENCE PERMiT APPLICATION
. .CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street.
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769'
Job Location: : z to G" l':)u(I'S~
Assessors Map II: t 7 D z. '36 0<-1
Owner: ]AtJYeJ I .. E:llI\lvtj,.e-r
Address: 12. ((J c, -0;/)...'1 Sj 5---r
City: CpfrJ . . State:
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Tax Lot II: Ozz.oc:;
Phone II: 7cf7 '-f550
. ()fZ- Zip: q 74-7'8
Value of Fence:_' ~l/" gs
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Fence Permi ti s $5..00
Contractor/Installer: ~ C:Yl VI
Address: PO 'bop--717
P UMttvcJ- (;A'{ ( State:
Construction Contractors Registration II:
1--eM c e, c/,- 't::oj:'1 L
Phone II: {, Lj '-/ 03 zX
Zip: .!i.:1...Lf5 0
Expires: ~.1.112-.(J !q?
(J72._
7 & 2Lf5?
City:
. 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
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
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Signature /
Z. /;1//19.:>.
UatEY' / . .
'. FOR OFFICE USE.
Date of Application: :7_ -f I--q~',
372-17
Total Amount Collected: ~,(1)
/'
Receipt II:
Issued By:'
Job II:.' q,ZOl '-{a
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Checked for Delinquencies:
Checked for .Historical Status:
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