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HomeMy WebLinkAboutPermit Fence 1995-6-16 I I -~. ' 1) ~, FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Job Location: L/6I./J b/tJl'Ad Dv. /~6'L66/~ MhO{) Ih A,f- J . Address: t./ti"af ('77/~ Ci ty: ~Y1-'!JR!J II, Value of Fence: (i tJ(). -- Assessors Map #: Owner: -rhhYYll7.~ State: ()y. t}lt.. ,-L SPRINGFIELD Office: 726-3759 INSPECTION LINE: 726-3769 Tax Lot #: LkxJ() Phone #: 7tf(- (JU~ Zip: q147 f Fence Permit is $5.00 City: llcusl- (J-y . tJ)L Contractor/Installer: ~~~ Address: J./':J7If G;/~ t;/J'f:1f), , Construction Contractors Registration #: State: / Phone #: '11./1- t) 'tt)~ Zip: Cn41 f Expires: " ': " 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. 7~ ElJ~ Signature FOR OFFICE USE Date of Application: ,&/ft.-l' ~q5" Receipt #_0 I Y7MR , / U'D Total Amount Collected: ~. Checked for Delinquencies: ~ Issued By: _ /,)?/95 Date . : q snQ7 (/) JOB I:~~ ~tW IX- Checked for Historical Status: ..'