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HomeMy WebLinkAboutPermit Fence 1997-1-15 {l' 1 I""_~~@} . ','.<ULI-- .:,~&c_~~, ;;.111 ;/>,,! ;" ~~ 000 0 00,001 FENCE PERMIT APPLICATION , CIty OF SPR1NCFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 '130 Assessors Map U: llo~ 'd...L# I~ Owner: ()I2-Vi lie Pe'o(j( Address: CL~o Q 0+-a.GG-'" C'i ty, ,<;PQ.h:)j-R4.\ D Value of Fence: l ~OO 6lJ Contractotfnstaller: t) ~~ Address: ~.J () ,RI) ~. ,~~ ' City: ,~)~~~\?\ D State: Construction contr~ors Registration #: Job Location: (Q St. Tax Lot U:, Oo?n')1) State: Phone #: 717. ~~r ~, O~ Zip: Cj1~ Fence Permit is $5.00 ~ -lei' ,M.P R G) Phone U: 00 ()I n ,'2;L.Q_~ Zip: ,GL147'1 [;)--01-Q7 Expires: By signing this permit/application, I agree to call for an'in~pection once my fence has 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. eiC2 /~~ Signature I A15~ 97 Date FOR OFFICE USE Date of Application: I ./ l5 .,..g1 Receipt jf n~ 431 ~ -bJ v-- I -- Total Amount COllected:......~ ~ Checked for Delii1quendes: r5D / Jon #: q 1 ('{) L. 0 . ' Issued By: n fY\Ar)() cli{) / Checked for Historical Status: ~