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HomeMy WebLinkAboutPermit Fence 1997-3-31 ." SPR~N, G_.Ft ._E_L_D' , ';.:,.....,.,..'.,'.\1 ~~6'Jd ,0 o ' ~ ' I) 1.,I."O>..~""_q ~,-:;;" ~, . I) ":"'-/',1,<', ~,~ ,'-'1:lo .' ~...\Jf o ,0 0 001 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: /t/17 0 ~ Assessors Map #: /102 !: 0 / 1., E/z.d Q (1, r 6 )1/l O/(//>>;V U /~/7 ;- r~;P-l / I - / . Tax Lot #: ~ / ()6 Owner: City: State: (j;Ky Phone #: 7q--cJk ? 'Z-. Zip: 97V'77 Address: Contractor/Installer: C()QrO () E~~01(G ')00rJ!H/(/U , ,) Phone #: '"/ Vf'-o b C'" ? Fence Permit is $5.00 Value of Fence: Address: 17f 7 City: _") f~ // State: 6.JZ ~ Zip: C; '7 y 7'"7 Construction Contractors Registration #: Expires: lly signing this permit/application, I agree to call for an inspection once my fence 11as been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. '2c: - m~~ .~ .3.'~7'7 Signa tuP Da te FOR OFFICE USE Date of Application: ~~ /3 i I q 7-- I Receipt # ()1 Sf / / Total Amount Collected: 1; S; .()Q Checked for Delinquencies: -Dof1.f--. Issued By: Jon #:!!ttO t.{S Cf '-A<tl1J~ ' Checked for His torical Sta tus :nf)1t.R