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HomeMy WebLinkAboutPermit Fence 1996-7-12 -~'- .-~.... .. . SpnlNGFIELD ,.. ...., FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 /f95? h~~nYr)1 Assessors Map ft: I K O}.-- 0 4 o"ner:~~ j/~...~S Address: ~)O r>/~ e-r c.tt~CV~c. c. ~( Job Location: <;::)'d- Tax Lot ft: ()b 3CJO City: State: (!)1l2. Phone ft: 7~~ - 3~ '/ Zip: 9?.y~ Value of ' Fence: ~~~."C) L/l~,<&~/t6 .(5 6P >0 ~~ c:r Gr2t;:.$",~ u.. Fence Permit is $5.00 Contractor/Installer: Address: Phone #: '/~O/ -32..6 ~ City: State: <::Y-€ /~c;.y~ Zip: 9>Y~ ::J? /qh~ ;' ,., Construction Contractors Registration #: Expires: By signing this permit/application, I agree to call for an inspection once my fcnce has bccn constructcd (726-3769). I also stated that all information on this application/permi t is correct and that I vas provided vi th the Springficld Development code requirements for fence standards. 7,h/~ Da te ' . Signature FOR OFFICE USE Date of Application: 7 --!2- q ( 17 Receipt # O?d-4-G?Q Total Amount COllected~5 aD JOB ft: q~03((1 By:(\ . rY\.~c..tvJ-~ Issued /' dlcckcd for Dclinqupn~ies: /" Checked for Historical Status: r~