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HomeMy WebLinkAboutPermit Fence 1990-7-31 ~ ._'. FENCE PERMIT APPLICATION CITY OF SPRINGFIELO BUILOING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: (071 I+A(<.lJ:)u..:J e..c:::.o .Assessors Map II: 17-/"),-'Z..7, 'Z..Z- Owner: /}.A. I Cl4-tl..E..L ? . EvAt-J. <::,. Address: 107/ ~~, Tax Lot II: ~ O() City : ~:P~l "-.)(71=-1 8-1> State: alL. Phone II: 7Zb- ~S-Z.3 Zip:ll<}77 0-0_ Value of Fence: Zt:.DO Fence Permit is $5.00 Contractor /Ins ta 11 er: OfZ..E:LryuA.J 1=1: ruc..t=... Address: Phone II: City: S?I2..i~-,FIEL-b State: (:>~, Construction Contractors Registration II: l \. \\(1../'7 Zip: q 14-(7 Expires:\ 12 - 0J-C\() 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. lM~ ~ f(/~ Signature 'L-'b\ -Q() , Uate , FOR OFF ICE USE Date of APPlicatio~- ~\-C\C) Receipt II: \ ~~ ct? Issued By: Total Amount C:lle~ted: . ~. CC,) Checked for Delinquencies: ~~cked for Historical Status: Job II: c\(Y')Q(~q ~ ~~. - - L