HomeMy WebLinkAboutPermit Fence 1995-9-12
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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: 6'19 r" Jess 1~4
Assessors Hap #1 (5?2J 2- 0 ~ d-.),
Ovner: 73;/1 i 'Belly LyNcll
Address: 5'99'/ Je~(~ /...4N€--
Ci ty: 5?t.t-....J~~ It)
Value of Fence: /8000,.9-
LAAlE..
Tax Lot 1I:
O//(Jo
Phone #:
7'f'l - 28/2-
97'1/8
State:
ot.....
Zip:
Fence Permit is $5.00
Con trac tor/Installer: ?11(!;f,'"
/1411 E,/
7.),l ,
(lo~sl.tI.(.J,o(....
Address: ,"<,yf( woou I4lAe
City:_ s?R~~~.~l\)
Phone
#: ?r'r -8787
<:j 7 '(17
Expires: f::,- <J6
Zip:
--
State:
CI-,
lOb B 73
Construction Contractors Registration #:
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 vith the Springfield
''''loP';''' cod, ~"'r'"" "~d"d,. 9-12 _ 'Is
Signature * Date
FOR OFFICE USE
Date of APplicatio~ q ~ / L--q S
Receipt #$ 01 ~ q q I
Total Amoun~ COllected::t1 S ISD
Checked for Delinquencies: /
Issued
JOB I: q SI Y7/
B~6~
,
Checked for Historical Status:
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