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HomeMy WebLinkAboutPermit Fence 1997-6-24 ueb . .- . SPRINGFIELD, I 1.1. I. FENCE PERMIT APPLICATION CITY OF SPRINGFI~LD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: /18'J tll/4/,Ii) /Nil-V . -. I Assessors Map II: ('Db?ifA?/3 Tax Lot II: l DI~ .. Owner: I..e.~ 34;z.,2.y Address: 1131 Z,vrA/Y,() 1.M4-;/' Ci ty: 6??/?) I State: DL Phone #: 7t/7-9/3/ Zip: 1'l'777 Value of Fence: .,0 300- Fence Permit is $5.00 Contractor/Installer: ?AaIF,e., iI~II/l.Y C'O~e.T. Construction Contractors Registration #: 10 ~ 1313 Phone #: 7'1"- 818 > Zip: 1""17 Expires: ~.18 Address: .~ '(''f wDe,;:>14N'J!!-- Z>.e.. City: 9r1P. State: O,Z- By signing this pernlit/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 Dev::.::v;;Z for fence standards. Signature inspection once my all information on with the Springfield t -2-1(-11 Date Date of Application: \o.R4.Cf 1 Receipt II C)\Q:i)~ Total Amount Collected: ~.cJJ Issued By: q 7VQr;1 l-'1J~B #: t\'11=l' \L:L fJ\\[\() j ~ .' \ FOR OFFICE USE Checked for Delinquencies: Checked for Historical Status: