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HomeMy WebLinkAboutPermit Fence 1995-7-31 "...L -. .t ., ,..4 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 kltC;ytt/A Assessors Map II: /t:Z~:z.-t!:1~~ Owner: l2.l\J~/i2.... he..NJ I-bWl": c... Address: f.o. Bo--,<:- 5'7'3 t/q66 Job Location: Tax Lot II: /!:7Z~t? City:~fS-w~ {( State: C1I<... -r",(' ,. Phone II: ~_iS-~ Cl:'1S--'-f<j'l7 Zip: Q7'f2 ~ <kt Value of Fence: I~~C) Fence Permit is $5,00 Contractor/Installer: ,( lU <C ~ 'B> '2. J() J, H~M E S ~ -.L: IU~ . Address: Phone II: City: State: Zip: Expires'" "'S' (..(.. ~ 1 71- " Construction Contractors Registration II: 17"tJ Z. 1 By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements,for fence standards. /I/V-r;t~ (J. Ct74 Signature I j/ 7/3'1/15-- Jite I FOR OFFICE USE Total Amount Collected: ~- JOB I: ~..;--<? ~r.;::;> Issued By: /?~ /F Date of Application: ?~ ~/.-9 S" Receipt II /g$'~ Checked for Delinquencies: Checked for Historical Status: