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HomeMy WebLinkAboutPermit Fence 1995-9-15 (- e.. -- SPRINGFIELD ..",. ",," I ~".w'IiJ..'J;!~{O);l~.ii::"<~i':':~... .'~ ..,' . . ''''~,,;i,: ~;;ir "',.d.,. ~ 'J " FENCE PERMIT APPLICATION CITY QFSPRINGFIELD .,. /" - . DUILDfNG SAFETY DIVISION 225 North Fifth Street Springfield, Oregon .97477 Job Location: SyS I Assessors Hap II 1/02- /Yl Of;' .f\ S4 3>3 _) J 726-3759 126_J16~ Tax Lot I: 60 /00 - Office: INSPECTION LINE: " Owner: ' t-Tn, I.. ~ Address: ;; (", L/ 7 , ~ jp~ / ,/ , '-- I ""'L1"-nl'" ,0 1.:2.-. (Jr ---- Phone I: -1a...Q 7 - 2/ c.. ~ Zip: 9 79Q ~- City: tL_,{/"o;'1 .p Value of Fence: 3,";> ~(I , . State: Qd Fence Permit is $5.00 Contractor/Installer: . ~(OJ("I++V\ r- ~~i-J-.....$+- - ,t-PYlr' f' .~ Cl . Phone I: 7~/'? f"Y CO _Zip: 97417 ~ Expires: 9 - '1 }o " Address: ::S-t-,() S, Ci ty: ,-<;: p ~ 1(":9 State: Or Construction Contractors Registration I: 7 <' 7 () :J... Dy 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 0"01',> "' "do '~~o ""d"d" Signatul'e ~ inspection once my all information on with the Springfield 9-/5'"'- 9S-- Date FOR OFFICE USE '-..,r-, Date of Application:' Cf" ) 5 - q 5 Receipt fi 0 J 9 030 Total' Amount Collected~ Checked for Delinquencies: 5.60 V " .". Issued By:. .JOii lI:q 502..5/ 10' CHAy Checked for "istorical Status: / - _JB NO. 9 So '1.. 17 1 , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT . WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: "3"0\-1..\..1 Se,c::.~L.y LOCATION: "=>'O'=>\ MAIN S-r. CHARGE \IO'2-~4~? - 00 \00 .. DEVELOPMENT TYPE: Qc...: ~-r FOOD ~<;'''AUR-A/o..l:-r BUILDING SIZE: 'Z-"ll C, SGL. ~-r . LOT SIZE 1. STORM DRAINAGE IMP~RVIOUS SQ. FT. "1:/t?90? X $0.209 PER SQ, FT. 2. SANITARY SEWER-CITY NO. OF PFU'S 4G (See Reverse) X $43.26 PER PFU 3. TRANSPORTATION Coo!:. e...~ - rA~'" fOOD 1<f,.~A"'1U\N-r NO OF UNITS X TRIP RATE X COST PER TRIP 'l .q \? X '2..0.0 X $436.19 X' X $436.19 X X $436,19 4. SANITARY SEWER-MWMC . -.', SQ. Ft. ~ SO?''?) .~W .'----~ ~q~PI~AI~w -....... --- ~.42-"~J?~ -....... /' S $ -14" ".-' NO. OF PFU'S 4-(., x $ILI9 PER P'FU + $10 MWMC ADM FEE S eco_' , (Use PFU,Total From Item 2 Above) I, :- '_"'::::--.'. _." .;...'.~J'~;.-~...-~._..;...:::...-;:~..:\_, _. _ ._ __ ,": ::l;. /. MWMC:CREpIT, IF APPLicABL{'(SEC"REVERSEr'" ",. ,- """'"'." $"',IBe,:z.2:.,~.~n~_",.,,' .:_:::.:_..:f___,:;':.!~ .- ." -,"!'_:..::.t~~~n.' ~ ;.~ ,,~}<~, ,,::'": q :~'" ~'" \ \/ I '~' . '. ~ '. . ..-....---........._.. ,.11>,r...-.I,., . "IP(:r,.. "I'''' "-'''''''.'-?Z- '-", ~-^'~, i'.",;,:,': ,.,,,:,',,.,......>: ';j:m' TOTAl.-MWMC SDC". '''''1'2. _' '.', .,.oror ". -- --. ---" : .< '-~'-~'-"--'" _ {~~.r-~~.l(-+......".,.f:-....~.;--:::O'\f_..; !"'rj~::.:: SUBTOTAL',(ADD ITEMS 1,2,3 &'4)"$?C).'?'?G-'-" 5, ADMINISTRATIVE FEE~H ~ i\T:Jt.;:) BASE CHARGE (SUBTOTAL ABOVE) X .05' , V . ~'.L..Pe. Date: 4/14 /4S . 'JKip Burdick .I' ( TOTAL SDC SOC Coordinator M/t' Pc=-~t1~a::>~~V~7 ~../?~/S- l1c,JP/# L'?C:J 5// . 8~~~, . /' . j) ~~."fl ~w ($ \"1"1 (". "6~ l';m3.f9' . ....... JJQ z:n""~ $?1?12-8~ . , . /b tS./4:.~':4 ..;v~ ::::I67~."~'7p&~ '._ _" c' __ - _