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HomeMy WebLinkAboutPermit Fence 1994-9-29 ... SPRINGFIELD f lot ~;,""\j:L'@Jfj(5Jj~~L{.D~~' ,;' "'~"." ....'...'.'.'." , ..' L, . .,'~ . . "~JJL~I>;:)-~--L:u""".,r:',''''.', c . ' '.' rl " '" . '.'. . Pl- "', ;., ""'';'' ~A~ "-' .',....., ~ ,0 .~ 1'lmCE PlmHI'l' APPLICATION Cl'l'Y ai' SPRINGl'IELD ,. ". , ..:.. llUILDJNG SAFETY DIVISION 225 North Fifth Street Springfield, Oregon ,97477 Office: 726-3759 INSPECTION LINE: 726-3769 ( -f-o-wz E- S'- ~Pf!-(~i f ,~(d . I Tax Lot It: 02-C/(J{J T,v~ phone' #: 7 Lft..f q:2. c;. (:. ,. Job Location: l-fq ~~ , .." Assessors Hap II: Lf fi2.- OLl hi) , r L/ I ~ \ v ~{R, ~'L-)t)d- f.o. &so,<: !3/~ City: (6;e~~z (( # ~r<'i ", Value of Fence: 7 v L,..I ,...--. --:-r ' r- 6' ~ 5 LI/ 1/ J J4-. ( . Owner: AddJ:cSSi State: /' I'") R- " Zip: 9- '/ cf~G . , --- . Fence Permit is $5.00 - Contractor/Installer: ~ \ [) ~ I Address:<Y' 0, ~ C1< S-y'"3 City: (i id-~ ~{( State: Construction Cont~actQrs Registration U: C)~ / (J C) G" tf~ Expires: tt? ,..... ~~S .J' pf)~ Phone It: 1 cf c./ ~ 2-& (a . . Zip: cr 7 cf L ~ 9~. '. " h~d> -- " " Dy 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 thut I wus provided with the Sprinefield DeV:4~t(jC1::'ts for fence standards. f~ ,f-1- 'l~ Signaturc ~ Datc FOR OFFICE USE ..' ...,t" Issued By: ..-JOii#:"qc::s () (;/10 ~ ' YV\- Date of APplication:' 9 -'dq ;- qC) Recd'p t II tJ) q I 5 q - Total Amount COllectcd:,15. UD Checked for Delinquendes: r-~ .'l Checked for Historical Statlls: ~