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HomeMy WebLinkAboutPermit Fence 1996-6-27 ~ . ....-cl (gJJu)J01?~.~' FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Job Location: (;,LI2?4 )')"),t:i il/J f'\ T Assessors Map 11: /7LJ2. '3 t' 7:/ Owner: 1~""1T'j ;-hr)L""v I?O . J Address:_ ~ 7c) /e;,....... City: _c::.Pv-:V->L. r- oO Value of 'Fence: / &X) State: /iVr=' . Spn~NGFIELD ___ [l 1_~~OOdJOOOOOool I~~~ Office: 726-3759 INSPECTION LINE: 726-3769 Tax Lot 11: t")-ffo( Phone 11: ")?-(,I. =? rO ~,~ Zip: q 7L/ '/ )? Fence Permit is $5.00 Con t rac tor /Ins taller: (',06 11'1_,.,-< Address: ({;4~L/ mCl,'!/) hh/'JL 1"> ,/ City: <.'Pv-; ''7~ State: /')Y'~ ",- Construction Contractors Registration 11: , Phone 11: 7 4 / )?qc:? '3 Zip: q '74'7 J? Expires: _ lly signing this permi t/application, I agree to 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. Signat&46'7~ FOR OFFICE USE Date of Application: ~h0('~ Receipt II "7 ':).. '2-<:,.4 Issued By: \ To tal AmoLln t Collec ted: r:;:,t>O Checked [or Delinquencies: ~ Checked [or lIistorical Status: ~ ~ ~ 7- q~ Date Jon 11: ,510 ~ ~0? ~~ ~