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HomeMy WebLinkAboutPermit Fence 1996-8-1 '.. .. SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: { '.-- . :J- S' ;t-I'J.I Y 1./ J ~.v .!,~ Assessors Map #: , Owner: /a--t Address: 6 ;z.~' /703 27 4.2 Tax Lot #: 02.3 CtO '- or _ //#._/ ~-". 7....<" -~ --- , r.rc.-/_ c.../Jf.lA-I' Phone #: 7 '17' -.:J..6 JG 9'!'{("- J-~03 Zip: 9 ?/;,., , / ~ S/----;r /', ~_t' Value of Fence: .10" I!)O City: State: d/ Fence Permit is $5.00 Contractor/Installer: ~.._.... ~Ti!.< Address: "2<' ~;:"'tL./~ U""I~ Phone #: <; 't f?' l} J(}f City: , <: ~"J_~ I~'" 1/ . ;. ./ State: /?- Zip: ~?y/? Construction Contractors Registration #: Expires: By signin!'; this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Development code requirements for fence standards. /~~ -gr Signature inspection once my all information on with the Sprin!';field 9'-1-96 Date FOR OFFICE USE Date of Application: ?; h /'70 Z2-7~f / Issued By: JOB ~ J CJC::I?9),,), A'/~.. - '-- . Receipt 11 Checked ror Delinqncnci es: L"i: (T'rO ~ Checked for Historical Status: Total Amount Collected: