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HomeMy WebLinkAboutPermit Fence 1995-3-13 ~.-47 '. . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Job Location: 'If/'ll ~/1" 0/. Assessors Map jI: /7 ...~~...'3 <-"";1/ Owner: ~:... :1~ q..~ Address: " <t4-<fJ I rn~ s.r:, av State: tk-- , City:~{~'p.J, Value of Fence:~~ Office: 726-3759 INSPECTION LINE: 726-3769 Tax Lot jI: e>t::. y~ * Phone jI: 11/1- ;:1.3D I Zip: CJ'1f?? Fence Permit is $5.00 Contractor/Installer: ~_ ~ t..o. L. () Address: '? 0 \'Sox 2.6 Phone jI: 71ft:. -e? 2 r City: ~tfl State: ~ Construction Contractors Registration jI:_/o 39' 7:1 Zip: 'i7Y,?l' Expires: 1-0'1 ~y signing this permit/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.' Sig~~ ~ FOR OFFICE USE Date of Application: ~-~~~.c;- Receipt jI /h 5~? Issued By: Total Amount Collected: ~~ Checked for Delinquendes: ~/31eJS Date JOB jI: _ 9-?'4f1> 3/ob /'/_-~~ ' L 7 ~ Checked for Historic~l St~t\1s: