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HomeMy WebLinkAboutPermit Fence 1996-12-4 @]fj)J' @} &)J1jlJlJff]fI~1I2)l ~ ' ')1 SPIRl!IMG~IIELD ' 1 ~o ,.'~~, o 00 0 o I 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:' i.2l/0 (v ~ 11\ 1.L'l l7o~ ;2(p lL( S~;~ f'\, '~i-r oP~t \ Tax Lot #: 550~ Assessors M~p #: Owner: ~C-hrl J&\{ () Ci ty: ~rr ''^J ~1'PJr\ State: '1)K' I Phone#: 7 ~ tn -- S<L?& Zip: q IV)) Address: Value of ' Fence: 17'-/ s , '&)0 Fence Permit is $5.00 ton tractor/Ins taller: ~f"f\ u..~.A. f~' Address: l;.Lj/7 , I(vu)()f l<\ ( JJ.... Phone #: 0 g---f{ ~(J 0 <0 ~ Zi"p: 9 ?y ()..2 - , Expires: .1 ) 9 7 Ci ty: ~~^ A..l _', . State: 'DfL Construction Contractors Regist~ation #: ~~O~ ~ By'sig)1il1g this permi t/application, I agree to call for an inspection' once ,my , fence has been construc'ted (726-3769). I a1.,:;o stated that all infol,""mation on this application/per~it ls~orrect and that I was provided with the Springfield Development code requirements for fence standards. ~~._, Signa ture --- ~UuA- ()M/ '7 199 fa / Date FOR OFFICE USE Date of Applic'ation: " J--L! - qep Receipt # D~q51 To tal Amoun t Collec ted :~1 (~. ,()1) Jon #:!1W (oil By:O\ . mQ)C~Ke~ Issued Checked [or DelinqtlPn['~e.s: f..~~'/'/Checked for I1is toriCi11. Sta tus: ~