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HomeMy WebLinkAboutPermit Fence 1996-7-17 ". .~., SPRINCFIELD 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: )11<1'6 otJ~L Or i/ - Assessors Map #: ---1$-.t?~ -Pb ,/'2 Owner: 136& "AND F,A-ll\-\ FaRSI Ie:::; Address: 34~ 0 Do LA u- L}<.S DR \ II~ City: ePR\N0-F'(~ State: 0R... Tax Lot #: P::?~C> Phone #: <;;41- ,-14-~1'l1' Zip: q,4--r~ Value of ' Fence: $\ZO::>.Qj Fence Permit is $5.00 Contrac tor/Ins taller: \ ~ S, f'n..-Lli-D B Ll 'S. E--Lp Address: A-e.oVe:.. rhone #: City: State: Zip: 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 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!J; ~i Sig,fature ,JI7Ht Date FOR OFFICE USE Date of Application: ?, / 7,~ Total Amount Collected: .,.~ JOB 1I: 9oe:>?7"? Issued By: ft-v'?- /~C/ . Receipt # ~25'7":2 Checlted [or Delinqupnr.ies: ,---. Checked [or Historical Status: