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HomeMy WebLinkAboutPermit Fence 1996-3-27 . . .--- .i. . '. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon .97477 Office: INSPECTION LINE: 726-3759 726-3769 A1~~T7/1/r Assessors Map. #: /'SO Z Ci.:l 2. 2- .!2/t/cL I.2UrtJ ~ Address: PO /30X: 57.5 Cl ty: Uct: SUI<:C (A. Job Location: ~Cf/ 3 Tax Lot #: 0 3CJ ~ t'J Owner: Phone #: )t('1-8 L" f) Zip: 9 >~?t;, State: o,e Value of Fence: / SCZ) - C70 Fence Permit is $5.00 Contractor/Installer: ~.1ZeJ J-h--;0 Address: pV'O ~~X 593 Ci ty: ~ .YA/'? ~ State: . ~,e; Phone #: )L./~-g Ltd '/ 9/~2....b Expires: 3/'7 h0 Zip: Construction Contractors Registration #: //~"/0 By signing this permit/application, I agree to call for an inspection once my fE!nce has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided wi th the Springfield DE,velopmen t code requiremen ts for fence standards. ~~ 3/L~tb Signature Date FOR OFFICE USE DaLte of Application: 1'/2.7 h~ ( / Receipt # 20&5"4 Issued By: JOB II: <9 C\/ ~/ 5" .~~. Total Amount Collected: s:~ Checked for Delinquencies: Checked for Historical Status: