HomeMy WebLinkAboutPermit Fence 1991-6-3
..
..IFIELD
FENCE PERMIT APPLICATION
, CITY OF SPRINGFIELO
BUILOING SAFETY OIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: fa90 JANVS S\"".~PRlrJr.;{=\~,-1'\ OIl< q,'-I11
Assessors Map D: /1 - 0.3 -' -3 <j - J - ~ Tax Lot D: /) / h () n
Owner: ,fl" IV ,q ,-5" t./ IE: /J11'l -r AI E </
Address: 6 90 0,qrJ us \.")r,
City: .....-<) PR IN t6 F/ c Lb State:
Value of Fence: $ \9-..00 cD
PhoneD: .7/~-7747
0;( Zip: 97<177
Fence Permit is $5.00
Contractor/Installer: ~~I-JII..u=;<;+ h--:f/~c- .4A//J /'J.c-r~k:
Address: /7ty() tll1-/IF1( ~u;:-;r: /J-e-. Phone #:~/- ~l":
City: htf-=-All=" State: OR'P-~I1/ zip:_97YtJ/
Construction Contractors Registration D: I;' 7C/Ri ' EXPires~ q.'r (
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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 I
r2J. ~ 3/ /99/
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. FOR OFFICE USE
Date of Appl ication: 9'//l') /r I..'
Receipt #: c?kJs<' Issued By:
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Total Amount Collected: 2)
Job #: C? / / Ou"d---'
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Checked for Delinquencies: ~
Checked for Historical Status: