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HomeMy WebLinkAboutPermit Fence 1996-10-10 . @j)J0J?'~~li FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 J.ob Location: /(JQLf f~~f Assessors Map #: i,[)};, d & 4/ Owner: (; Itt!:-l 2' /!.flu~-I A11'// btz.. Address: /DZ-'f /J!1:/j-5AtJT '")T. City: ":'JlJfLl~'7(,(dd. State: OK- Value of Fence: tf50 r ~ Eence Permit is $5.00 Contractor/Installer: ~sALLJ m U ~ PlM~f ur 012- / [);). L/ City:-50 tz} Address: State: Construction Contractors Registration #: - Sigtla FOR OFFICE USE . SPRINGFIEL.D _ , I~o l ~ ~"-J <i' 0 "0 o 0 'l Office: 726-3759 INSPECTION LINE: 726-3769 0/ Tax Lot #: 0 Lfr(JO Phone #: '1;t'l - 1<67 <I Zip: 9'7'177 Phone #: Zip: Expires: 0:> /o;:o~? Date Date of Application:/Q~/O- 9t,/ Receipt tt O).J, qq S Total Amount Collected: -Jl5.W Jon #:01 6? I ~~S Issued By:_f) ()'J0::J(l)J ~QY() , Checked fnr Delinqupnc.ies: r/'"" Checked for lIistorical Status: 1""'--