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HomeMy WebLinkAboutPermit Fence 1991-7-30 r ~(\. e. SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION Job Location: <)"77.2 K.4LN/A- L.t! Assessors M~P #:~~~~\ ~ Owner: ,/) E A-.fI/ (';< (j /JIl,.<?O I Address:.S'77Z KAb-</Q. L,;J City:~ \L;'rl'I1I9-f!:;'J'.do State: I f J. 00 Value of Fence: -#> jqZZ;-'-- Fence Permit is $5.00 ~ ContractorlInstaller: Mi?tJ0eX2 k..;-.;(!e Co ~ Address: f{') .,8'0 ~ } 6. r- Phone #:9.-:::J7~-;a9~ City: t!.,O weL-L State: ~ OJQ Zip: 97L/52... Construction Contractors Registration #: 7~()<o2 EXPires:~~1h.? 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 ~ <;^'~ (')~ 97~?/f Tax Lot #: ("EJ).f() Phone #: 7~/,..g-3A 5 Zip: 97<::/7e tJ~ 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 a lication/permit is correct and that I was provided with the Springfield D", ~"~'"""'< f" f"" <""",<, -;7~"~ ignature Uate . . Date of Application: _.1/J.f:J/7'1 Receipt #: ~5 ~ Issued By: Kg.. / Total Amount Collected: Checked for Delinquencies: Job #: 7'11'?~5'~ R/~~ Checked for Historical Status: ~ . , , \ , , " \ \, -.\ '.' \. ~ ,: \ ' , \ ' " L \ ~ -- \ \ /.' \'. .. ... , J ~ ," \ - - ,," \.. , ' , '" ..,," \ \ . '\, - . '.. I' ~ .~ . , . /' . . ,-. , . , ~\."'.-". '. '-...l . ~, ' .- . . .:.~ ) .>