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HomeMy WebLinkAboutPermit Fence 1995-12-21 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION , 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: '. 726-3759 726-3769 ~957 .fL~~r.A/ Z~. A>z>. Assessors Map II: /7-:.!?<. -~-~ Owner: h...~~~ ~~ .,JZ::;~""/' -, , Address: ~~.o ~A1'5r- ~ - -- C~.F~ Job Location: Tax Lot II: ~'3'?.-...-, State: ~-/) Phone II: ? $I /~s-c- Zip: ""9?7"'o/".?? City: ~. Value of Fence: /15..::::>97 /' Fence Permit is $5.00 < Contractor/Installer: _PT-?LP~ k.h'C6 C:::;;. Address: t../t;/ / 7 _~~,;'~ _ .#V,i? - Phone City: E/~.xr,g- State: ~_ II: 6Jiii5S~/', Zip: q?V~ Construction Contractors Registration II: ~~:? '2 ..... ~.~..-- Expires: .r- /' '/---:> By signing this permi t/application, :I agree ~o 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. 4~Jw ~n~tury Izh)9.5 Date' FOR OFFICE USE Date of Application: /:?-</--7'~ Receipt II /"?';?-Y3 fssued By: JOB I: "'9~/9.;2. c;- ~ -- , To tal Amoun t Collec ted: ~ ,6 '/ Checked for Delinquencies: Checked for Historical Status: '\ ~::'.~