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HomeMy WebLinkAboutPermit Fence 1991-5-30 '. . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: i '"39-fJ Plb1)M!J1U1 Assessors Map #: / 7"EJ'7j - :2~' ?"L Owner: 0A!2-\( !30'11!L- Address: 13 rB [)rt:-DdO/1Ji City: -.5P1Z/I1Jr;JC/k'lb State: Value of Fence: j 9 I '7 c!JO Tax Lot #: O~ /ClO Phone II: 7-47-(;OS-<:> of2- Zip: Fence Permit is $5.00 ContractorlInstal'ler: /)JA :LAA.J tI-- b,;r1r}U-17t2'? Address: '3235' Aw~7Z Sr~ City: ~U(; &::!AJ6 State: 012- Phone II: 34:S - 2--941- Zip: eJ/lt/OS- Expires: 6/20/9/ Construction Contractors Registr,ation II: t,1-.%0 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 th.is application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. ~ ,- )) ') ~. ~- .... ~_1 s;g~ 3'0 AlA- '/ C) I Uate . FOR OFF ICE USE Receipt #: -=<o=<~ '/ Total Amount Collected: Issued By: / <): $'t!7 Job #: '9'~<E>;::>---g /2 ~-~ '/~"':::-<:;/ Date of Application: "5-3o~7'/ Checked for Delinquencies: Checked for Historical Status: