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HomeMy WebLinkAboutPermit Fence 1996-9-24 .. / FENCE PERMIT APPLICATION CITY OF SPRINGFIELD . ,. I - nUILDJNG SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Loca'tion: Bfa ASP$~ S/ ; Assessors Hap It I j -; OS 3 '-j Owner: 2)D;t! n;clre/ Address: B10 /1-0?;?""/I1 City: s?//~ SDOD SJO ) ad- Tax Lot #: ao ~OO State: D/c Phone' #: 7;/'7-8368 Zip: 9?1//"/ 6/ Value of Fence: Fence Permit is $5.00 ~ Contractor/Installer: I1JdIf""t& t/,/J1k Y r?t?I1C5/< /. --- .' tooo;)/4he.- ,,42, S tat e : 0'2..- ,Construction Contractors Registration #: ~c:;~t3~~ '. " Address: !5'i'l City: s?;-/D Phone #: 7f:,?,-:..- 818) Zip: ~7,/, 77 Expires: 6-7'7 / , , By signing this permit/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 was provided with the Springfield Developmen: C~L"_~e~~ss f f/or nce standards. ~ 1/4~ ?-~r-tJb Signature Date FOR OFFICE USE . ,f" Date of Application: Cf -~L1- q f.tJ Receipt ff D;;0~53 - To tal Amoun t Collee tee!: J} -5 _ CSD jOil #: q (; I:d-;J I ., Issued By: n - fY'\6)Ch aeL 0 Checked for Delinquencies: v Checked for Historical Statlls: ~ .~ I..,'