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HomeMy WebLinkAboutPermit Fence 1996-5-29 . . sr-nINGFIELD - FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 I Job Loca t ion: <72'? ,I /1 o -'> LV. IX,), VI~. Assessors Hap #: J / 0 3> d ) "?:, I <~ -i-lerl<.l'/.r, ad; YlCI (I- Jt Tax Lot #: 0010 ~ Owner: J(}t')l.o\ Address: 9~"< LJ. City: <yr,-'""t',..r) \1. Value of 'Fence~~ sm. CJJ Phone #: 717 -/'1'10 97177 . State: /)f? Zip: Fence Permit is $5.00 Contractor/Installer: s-k.-ue- '~.::\-H-r~ -.J.,.J~:-+r Address: R2:; W. (J(A )yvJ-f- Phone #: 7"'17- /4'70 City: '<;A/? State: 01''/ Zip: q7477 Construction Contractors Registration #: - Expires: By signing this permit/application, I agree to call for an inspection once my (ence 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. <:;k". Signature <,ik"E - . 5-/29 I" l.- I I Date FOR OFFICE USE Date of Application: S"- ;}CJ'- Cj' (/J Receipt # ~Jf-J-1 '-f ( 1/loq0\ Total Amount COllected:]t =>. l)l) .-- JOB 1l:.q~o7L.5 Issued By: (). (h~ (In '0 d 0 Cllecked (or Delinqupnries: Checked for lIistorical Status: t:.---