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HomeMy WebLinkAboutPermit Fence 1990-3-12 ~ , SptOFIELD \1 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION ~225 F,ifth Street Springfield, Oregon 97477 Office: INSPECTIDN LINE: 726-3759 726-3769 * Job Location: c2380 m""';'" vr Assessors Map #: IJO:2.,'2,L,Ll/A Tax Lot II: 0 130 I Owner:~ c:y)~~ ~9::r~ Lrb o " Phone #: ?y,{ - ? 7..:<.0 Address: d(3~o /Y/o"':"'" S-r City:~j.'~O~ , ~/. I . , Value of Fence: IJJ /1. lJ-O State: ~~ Zip: 97Y? 7' () Fence Permit is $5.00 Contractor/Installer: ~.~ ;:1Z~ o Address: . R 0 ~ .3(., City:~~~j Construction Contractors Registration #: <'.1> . State: ~~ o ~// b (, Phone #:J}/t - if.;? Y Zip: 9'?$!'7'7 Expires: 1;;;-31-?O e.?- 1) I? /' ---- By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also state that all information on this application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. .~ ~.JJ ~~ Stgllatuf'e I ...? - / Z- - 9-0 Uate . FOR OFFICE USE Date of Application: ~I I~\~" Receipt #: \ t 0844" . ~ssued By: :IPS ,00 Job #: OJO()'), S<<:. Be, Total Amount Collected: Checked for Delinquencies: ~ Checked for Historical Status:,~ .. -,",,', ."..'