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HomeMy WebLinkAboutPermit Fence 1997-6-16 . . FENCE PERMIT APPLICATION CITY OF SPRINGFIBLD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 2580 ;I-4,z/Je$T ~A/. Assessors Map I:n..o ~ 2..~&'{ '" s?P/D. Tax Lot I: Lloo Owner: i7UA/k IX fZA.a./D Address: 2.580 JI-4,zvc.",-;- iN. Phone I: City: c7?P/l). State: oe.. Zip: 'l7<r77 Value of Fence: # 9 (:,o~ Fence Permit is $5.00 State: O/L Co -V'c5 ~,R4.C h 0"../ Phone I: 7Yr~8/g;> Zip: ..97 '/77 6-7'/3 Expires: Contrattor/Installer: ?/It!lr,c- f/,4-//t!!I/ / 2)2. Address: 3~~ City: ,')??/O, WOOd /4NFL Construction Contractors Registration I: /06 %3 73 By signing this permit/application, I agree to call for an. fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Developmen t co~q~~. r en ts or fence standards. ~~~ ~ Signa ture "-. . Da te inspection once my all information on with the Springfield t,-/~-17 FOR OFFICE USE Date of Application: f.g J ' (P /9 "f" Receipt 11 tJllJID7- Issued To tal Amoun t Collec ted: ~ . ~ 0 Checked for Delinquencies:~ Checked for Historical Status: ('l~- Jon I: q 7 ncr3 .l- ~'l1J .I.IA By: