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HomeMy WebLinkAboutPermit Fence 1997-6-10 r,l ,. . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 No.th Fifth St.eet Sp.ingfield, O.egon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 72-V~ J-I.oLL"J .z:" #: /P/ 02 02 j. 4 (tI~CO '~~IAL/_'?-J=:)E:L)\ /'>>_ Tax Lot #: /20'7225' Assesso.s Map O..me.:~J-I.A-JAJ.J;; ~ ~t=$A1ISb I ' Add.ess: 7 ?O.'; .J.!o LL.J . ,51: I 1.-<. LoJ ,tAD I< e::- ) Phone #: 747-L-,Zj-n Zip: 974-7ft5 Ci ty: ....5]:>I? I AJb!=J)=""Z-i) ~ co Value of Fence: ,33CO- State: ~A Fence Pe.mit is $5.00 Cont.acto./lnstalle.: S~.JA1bl=i ,=-)/)\ Add.ess: :P.O. J~~ 9~; Ci ty: ~J~/A.Jb;::-J J;;LJJ State: H-..~I/'C /'.0. Phone #: 988- 92t..2- rQ,Q Zip: 974 7/' Cons t.uc tion Con tncto.s Registration #: ,L' L'J3 71'1 D-.:>,s)'t. LExpires: By signing this pe.mit/application, I agree to call fo. an inspection once my fence has been const.ucted (726-3769). I also stated that all info.mation on this application/permit is conect and that I was p.ovided with the Springfield Development code .equhements fo. fence standards. ~'~cJ"~-' /n.P_ ~ure / FOR OFFicE USE Ie> /&~7 Date "/ '/' Date of Application: &/ /oJ 97 Receipt # Od-G J ;:} J Total Amount Collected:f.1 ~. ~ JOB 11: 970 ~9o Issued By:/). /Y7a..cha 10 Checked for Delinquencies: v Checked for Historical Status:, ~