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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 ( ;{ ,. 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. /J~ c-S2L- !Y'l,~ Signature I r2J. ~ 3/ /99/ uaje . FOR OFFICE USE Date of Appl ication: 9'//l') /r I..' Receipt #: c?kJs<' Issued By: ~<.""~ Total Amount Collected: 2) Job #: C? / / Ou"d---' O,~ Checked for Delinquencies: ~ Checked for Historical Status: