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HomeMy WebLinkAboutPermit Fence 1997-5-16 ,-. . SPRINGFIELD " FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 738 SCOTTS GLENN DRIVE Assessors Map #: 17 03 27 2 4 Tax Lot #: 05200 O~ner: HOUSE: MERRIE DINTEMAN PROPERTY: LOCHA VEN PARTNERSHIP HOME: 726-6192 Phone #: WORK; 726-2514 EXT 225 Zip: ' .97477 Address: 738 SCOTTS GLENN DRIVE Ci ty: SPRINGFIELD State: OR Value of Fence: $1.400 Fence Permit is $5.00 Contractor/Installer: KEN JACKSON Address: 930 ELM STREET City: 'JUN€7J:'lON CITY State: OR Phone #: 998::1591 Zip: 97448 Expires: OS/22/97 Construction Contractors Registration #: 114087 By signing this permi t/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I ~as provided ~ith the Springfield Development code requirements for fence standards. ~f J-klY1' ign ture - fl~) .!J - /1,0 -'97 Date FOR OFFICE USE I ! ,. Date of Application: S//&/1 r rY) c:::.~ () r Issued By: JOB I: 91077.s i.'fh~ Receipt # Total Amount Collected: ~ 2). (}() Checked for Delinquencies: .t1Jlh..i Checked for Historical Status: /fID~ '-