HomeMy WebLinkAboutPermit Fence 1997-6-24
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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
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Assessors Map II: ('Db?ifA?/3
Tax Lot II:
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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: