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HomeMy WebLinkAboutPermit Fence 1993-8-11 ~...-. 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: ~13l.€ ~/V)'IG Lf) j Assessors Map it: rita/vI {s ~ \.I ~ - I P J ~/Le &t;n Vl\~ L--n ( ~Lt State: O~ Value of Fence:4$' ~ J DO OJ7[) Tax Lot it: Owner: I Address: Phone it: 1!:lli ' D:at Zip: t! 74 77 City: Fence Permit is $5,00 Contractor/Installer: UltJ'vLu{ ~ Address: Phone it: City: State: Zip: Construction Contractors Registration #: Expires: By signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Developmept code requirements for fence standards. .;pb ~p ~6L SIgnature ~ inspection once my all information on with the Springfield (3 ~ I ( r-93 Date FOR OFFICE USE Date of Application: \ \ fucb W3 Ojq I J I ~ Issued By: JOB I: q~U!~ Y1A 21 !lJl;uL ~ Receipt # ~ . Total Amount Collected: ~ ~ Ch k d f D 1. .~' ec e or e Inquencles, "- Checked for Historical Status: ~' ,-