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HomeMy WebLinkAboutPermit Fence 1996-4-5 1}1~~ ~ . . " FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-~. 726~ " .( .... Job Location: '1'~ t.f '1vu \GJKJ2~ 0 ~ ~ \1..-- () Tax Lot ~: ~/.?~? Assessors Map D: I ?~'3'-?- '3 ~ O...ner: Future B Homes Addrcss: 3593 River Pointe Dr. Phone D: 485-3176 Ci ty: Eugene State: Oregon Zip: 97408 Value of, Fence: "7.-fJ7JD. frtJ Fence Permit is $5.00 Contractor/Installcr: Elite Fence Co. Address1407 Carmel Phone'~: 342-6274 Ci ty: Eugene State: Oregon Zip: 97401 5/-z.I/9.1 Construction Contractors Registration D: 79695 Expires: By signing this permit/applicatioh, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permi t is correct and that I ...as provided ...i th the Springfield Devclopmcnt code requircments for fence standards. ~~^-A~~___ Cgn"6e \ '-{ / 'Z-Ifi-/' . - Date FOR OFFICE USE Receipt 11 ~'1"'L 1-/5/'7(0 Total Amount Collected: /O.bO Issued By: -;;:.,,0 ,u~d" s: 00 ISIV~ Jon ft: 9?1?j1"7tL f/~ Date of Application: Checked for Delinquencies: Chccked fOL" Historical Status: