HomeMy WebLinkAboutPermit Fence 1991-12-3
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SPRING.LD '
FENCE PERMIT APPLICATION
, . CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street'
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769'
Job Location: 'i7jJ.~ ~OCJlJ4.t/E:/f
Assessors Map If: I, r-i?-~JJ.1..f
Owner:' /1.f1/1WJf/~(/-::fl.. GIf/;?/.d
Address: ?rJ.tt.' J-,ocll.r;pEJ-.!
.11 PE:~
Tax Lot If: 0 '8(..,,()(')
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. Phone If: 7'r1 OZ 5Z-.
City:
Value of Fence:t1D"~
. State:
Zip:
Fence Pennitis $5..00
. contractorlInstaller:\-\' ~\.\ ')
AddressS-.\~ ~\'H' A I
Cityf, ^~~~~\(''\
Construction Contractors Registration If:
G~,
Phone 1/:' ~ '-\.'L-6G6'L,
State: C5L. ziP:Cx5Il\~'l
-
Expires: ..:-
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 infonnation on
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
/77 tum~ rj, L -:;h~
signaturi
J 2_/ 3/7/
6atef /
., FOR OFFICE USE
,Date ofAP~cation: \~- ~-Q,\., \_ JO~CA \\l\,\Co
Receipt If: ~ /:);?g{p . Issued By:' LN,~
Total Amount Collected: 6,a~ . ~
. .
Checked for Delinquencies:
~ Checked for Historical Status: