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HomeMy WebLinkAboutPermit Fence 1996-4-26 . . SPRINGFIELD. 1 l.,,~'J;lJ.i;l;It.' i!litL=I ~. ),['];l:!~'J~ _~"-....:"." ,.J FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: I (} 0 (., C"\ L~O o~ ( ~ OJ>("9 ~D l-Yl. S PLd) O~, V?1(77 -0/1"30"( Assessors Map ft: /7 6} ~ 2.:5> Tax Lot ft: Owner: .\../0 ~""'" Q J \. \\~{'D Address: I () ac, cl& City: ~~R \ '"' j C I ..\cO to Value of .Fence: ~ClCJ. 6 R<:" h 0. ReO LN. State: ()R.. Phone ft: 7'-1 I ~())~ Zip: q7Lt77 Fence Permit is $5.00 Contractor/Installer: {J {,tl vex. , .. Address: Phone ft: City: State: Zip: Construction Contractors Registration ft: 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. w~ . Signatur~ \ ^ 'wn...,,- LJ.' ~6" . QJ: Date FOR OFFICE USE Date of Application: 4/2-,,;,/9(;, ( ( Receipt ft 2-/584 ( Total Amount Collected: ~~~ Issued By: Jon ft: /,WJs-r; 2- ~~ ~lecked for Delinqu~n~i~s: L---- Checked for lIistoric"l Status: