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HomeMy WebLinkAboutPermit Fence 1990-9-13 ...::~ .~ ..:;. ., SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: ~7~ Locl1 C.LI~i/\ Assessors Map #: /7 ():sZ 7 ZL/ Owner: I j')(' J,,(1;iJ (),Vl () a/v! J.1 e..-V<(, Address: II q q /\j Terr w Sr C. C" . 0 St t lty: I~u_t?.l//~ a e: it Value of Fence: Jt/'4DtJ .c5(:) Tax Lot #: D7 ZOO Ph", I, /,,3'% -9/23 ~ Zip: <; "/drJ2_ ()!Z- Fence Permit is $5.00 Contractor II ns ta 11 er: n rr p U,/)"YI iJ Address: Pn {!J M 3t City: ~~i/\ fJ ~ Construction Contractors Registration i-..p.hre. Phone #: State: 1'\Y2--- #:~~(/I Zip: Q7r.!77 Expires:_ILI ?,t!Cfo , I 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. f?~~~~ ~ignature / 9-/D -9J) Uate . FOR OFFICE USE Date of Application: 9-/3-90 Receipt #: rf: 7;.7 )( Issued By: Job #: . I f2. ~L~ ~\ ^ q(){) q xC; Total Amount Collected: t;.C5l) Checked for Delinquencies: v' n --- Checked for Historical Status: v ~