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HomeMy WebLinkAboutPermit Fence 1995-7-11 . .iNGFIELD FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE:' 726-3769 Job Location: t8~R bG~~ ~~/~ 1'93 /1' If? 8r.?;$ rr Tax Lot #:~'2 ~er,r) Assessors Hap #: /fJo~ Owner: P *1U'Jt1~LL ;T, Address: $' Jfm!!:" City: r)1 ?d. Phone #: 7 'I/; - 7627 Zip: 0; 7,-/7Jf State: !)J2 .- Value of Fence: ~ /1')1) Fence Permit is $5.00 Contractor/Installer: I)wAJ-rz;e , ,'. Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: - By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct 4!nd that I was provided with the Springfield ::~~~f" f,." .'..d.,d.. 7-1/-9s Dati! FOR OFFICE USE Receipt # / e Z-S"')- 7//0-1 Issued By: JOB I: CJ L;' / / C;; 2- ~/.~ Date of Application: Total Amount Collected: z::; ..~ Checked for Delinquencies: Checked for Historical Status: :~"'?:<(:.:' , . 1.. :. ..:,,\,- '~;'.5:.~}~;t~~~ .,.'f"\l..,,,...~. :,~:';:~j~1; '/;~'t:~~ ;- "s:' 'S]:: , ,;...::.~rj:/ J~: ,: " I'..,,;..a~ LOT 21, BLOCK B OF FIRST ,IODlT"),,, ;~:.,\':.;";o~' TO CASCADE IfEIGIITS A~' ,I'U Tif'OI'.: !:".'.):!i' AND RECORDED IN FILE n SLIDES i:O-12(1,,::;:;,'. OF THE LANE COUNTY PI II r RFCORDS"'.,,:.\ ,;\ LANE COUNY, OREGON .,. ';'::nt " ;rt';'~ , ~"'''::;'~:~~ ~;,f~!i; ....l~i..'~~ :<';:k~~$f: .~:~:~M).;;~ .1tt_ . , 05/16/95 ----. ...__. BE~~N-BOESE - 503 726 3689 . 07:24 P.'.NOALl. J BOESE 685,5 Ct.A CIER S 1'. EUGENE. OREGON --- s~. - .Y ~~ - ...c.'Y , r- , ~ 6':/ ~~Ci, '~l:'l "//1/""" l,Jl,1'::' LC- S ..- '-feAL DESCR~1N1!. 58"51'10" IV 70,00' -'-- ,.r' ,/ ~ ~~~ )t~- / ~>~ 0~), \ v\\{~ \ vi. , , n ...... SCALE: 1"-30' T.'Ir:i DOES NOT CONSTITUTE A BOUNDARy SURVEY AND 1$ SUBJECT TO ANY 1,'/ACCUF!IICiES TH.'. T .'. SUBSEOUENT BOUNDARf SURVEY MI,)' DISCLOSE. I, JON'" THAN A, O,~KES. A REGlST(;,qED PROFESSIONAl. L"'ND SURVEYOR, DO IlcREBY CnmF( TiI.~ T II MORTG.'.GE lOAN INSPECTiON OF THE A80\'E DESCRIBED PROPERTY WI',$ MADE BY ME nllS 24 TH OA Y OF SEP,[,'1Gf;t? 199., MiD TriA T T/-iE SUlLO:NI;;S UPON SAID LOT DO NOT ENCRO,~CH UPON THE STREETS NOR UPON THE IIDJOiNING PROPEiRTY M,O Fil)\ r THE (iUILOINOS UPON THE .'.O.JOINlNG PROPERTY 00 NOT t:/'ICIiOACH UJ>ON $....,0 Lor, EXCEPT AS SHOWN, --- POAGE ENGINEERING AND SURVEYiNG, INC P,O. 80)( 2527 EUGENE, OREGON ')7"02 ISOJI "85-4505 owN. I3Y: I J,~ NOV, 8, 19P4 .' ,'!.\C::; ..~ i" fS, .,' --j~. ',f"" ~.:,~, ,.::,':, ~,.:: .,: ~: ~;;. , JI .:'L6,: . . :: ,~. . ,',,-', :,,:.' !...~? ",' , . .... " ',; ....:...::- , ",' .";::/~f~~ i~!:.~:' . ~.~. '. ...:)U}~: ~ " REGIS rERED PROFESSION A:. _LP~N~~ Sll1~ ' .... A'd~l1.. _L , oREGOIJ JUL y I~, 19'. JONA I HAN A. O^:\l5 1t- 210S , uXPIRi:J. OEi{GKr9f:A Ji. I&i~ ., rl '!:I .,~, . (' <15/1>0/95 07, 25 BE ON-BOE"'E - ~03 '"'26 -'689 . .. ...; -' I ....J NO. 7kH Ol'15 Bergeson-Boese & Associates, Inc. ?coiuel _.~NKJ.n~_...;z~i>.~. ,.,.... , ...... P,,,,.,, Cod" ,.6B~B G:?~g.J)f!:k.t/~__ Co.lcutllwd By: .....'. ~ n D"tll: .X..:.?i,~f1f- 65 Centennial Loop Eugene, Oregon 97401 (503) 484-9484 Fax; (503) 484-4188 ~r.t:elt'i'd 8.... _ '--1." J,/ - c- Scal'lf: _ - J .._......_....__..._.... (Jilfl'" Shul No.: _ VI _...___ -",' III \ fa R. c.. ,./ - '/.1 _~, tl -'l , ' }. t/ ,- ~, . .,' ~ S-/O 17~ Zn )1 , . ,2 ~'B!:;<I , .. ,: GitrRllra' (rl ' 1':)f~ r.,.f 'j h.. ~ "'i... '1 '\J. ....), ~ ~ ~ Q ~ \J) .. ,,".. . Pr'It.Jt:.- wap. I I i i '~ $"'- g"" '-i- /7~ M" ~-r",~("e: B~ ,CJlfhlU:', . (/~' tick})} I ,. 6- S ~ -.. ~ I . e: ~ f\' <6/3 ~-e Y!i!I~c,~"oo ~!!~ Job No.lf.411Q-5 SYSTEMS DEVELOPMENT CHARGE WORKSHEET PHONE: ~.f'cfJ1 NAM . ADDRESS: ~os S-trOO t . ~ I - 'W LOCATION OF JilROPOSED BUILD~ITE:~~(,k.kr-:' _-I- Street Address if Known: \ ()f?.~ '.JI J\ 0 Q...A STATE:~IP Q'l1]$ PI.. N,me ~ ~M'" Nom"'" \'7()~()~1I 0 Qzj){) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A. Sim;>le Familv - Detached l Single Family home NO OF UNITS t Manufactured home not in a park aJ $400. _ X $400 PER UNIT _= . B. Sim,le Familv. Attached NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv ADartmen~ NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ $ 40D ,rfJ '$ ff $1lLnocJ WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for CreditJ ~ Community Services D City of Springfield eJ / / Date