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HomeMy WebLinkAboutPermit Fence 1990-9-24 -~ . . SPRINQFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELO BUILOING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: IL,?'y o I ~ Wlfj-( ~ 8J- l7o~U'-lJ V; ^'[j , Addres s: 12b4 () I :1 VV1 P 1& ~ City: SpnY'\,5 A ,.,ld State: (\~ Tax Lot #: (~~~ Assessors Map #: ....-.-::-\ - Owner: '- I VVl Phone #: "fei! 7~U(g Zip: Q7'-/77 Value of Fence:f//r:17O.r-:V Fence Permit is $5.00 Contractor II ns ta 11 er: C~f hv") "(ilG{ f1 Y\.J.1 Address: L-/ "' '? l ~..Q..J 't-Y'vI<-- "'- City: f-'.iJrf ),,0 _ - U. - Construction Contractors r:=..f> AI1 C'. e- Phone #: In Y q ~X ~ . State: 072- Zip: 971./ n'/ Registration #: fa/)()2.J Expires:C;..g q; 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. /t,,~/-1 /7 "Signature - /7 / a./U,~ 7-;;Jt-(- pG Uate , FOR OFF ICE USE . q - 2-LJ 1f7J Job #: (lid! 77 Date of Application: Receipt #: fK3G./7 Issued By:/'O A/\N~Q Total Amount Collected: ~.LJV~ Checked for Delinquencies: ~ Checked for Historical Status: ~