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HomeMy WebLinkAboutPermit Fence 1994-4-18 . e:- SPRINGFIELD FENCE PERKIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: ,<:)111 1-<(.\).."",,?'1c Assessors Map #: {00Q()4 rq- , Owner: \)0'/ Le.- l.uALD . - . ~+ <... ~ -'_ M ~"" 1\ d v-e I Ta: Lot r ffi'l.cU ,nP Address: .> 777 kIAL"",,:v.-- S 00\- State: {').......... Phone #: City: S[)", ( Zip: 9'rl(7~ Value of Fence: ,:);:) '/ .<. . t!Je> Fence Permit is $5.00 Contractor/Installer: . :\\Ih_",' "::' Address: \/~S '-J )...!, , <:., ",-<-C-e e-i -\- {2<--) dve l QIf' "" Phone 1I: hlrS -53 7j City: 1=:,,,,,,, construct:onc~ractors State: .zip: 'l: L \(0 '::. Registration #:..x.rl-~:)"") Expi res: t..j .:J, 5'<, , 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. S\.~~) ,~~ s~~ure ~ "-t (~-'=rlf. Date FOR OFFICE USE , "H' of 'pol!", ;00' -4, 1'(\ Cft , JY" t, a 4 () 52-I I) Receipt # \::i:.3~ Issued ByV)fJJ~ , Total Amount Collected: Vl.rJ:J - \.! Checked for Historic~l St~tllS: J Checked for Delinqupnd ps: