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HomeMy WebLinkAboutPermit Fence 1995-3-31 . - . 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: ,. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION Job Location: 1.1103 rnP,J/IJ 51 Assessors Map #: 17 05 35 L.1/ Owner: Go-hQrcJ kess/o..v.... Address: .;tD 7 <J 5' H Wl/ , J..Co I Tax Lot #: o87('JO City: Noti State: Ot<.. Phone #: 9.35 - olcl./'if Zip: c;7'11D1 Value of Fence: ~ } 5'00, O;S' Fence Permit is $5.00 Contractor/Installer: ~rN:U-d. 11 Wi , I ;Lip 1< " 8S t o...LL- Address: ()...o7~5' i ,I__L: C ty: NUT. State: OR. Phone #: 13." - D In tJ<;( Zip: '!7<iCtoI Construction Contractors Registration #: - Expires: By 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. ~~O<. Signatv V ~~~~ 3-3/-9S- Date FOR OFFICE USE Date of Application: -;z - s 1- q 5 Receipt # DlLl g-l (P Total Amount COllected:,j; JOB II: QSo '711 ~ . "YYt.d /'-1vJ~ Issued Checked for Delinquencies: s. 0lJ V . '. Checked for Historical Status: .,/