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HomeMy WebLinkAboutPermit Fence 1992-4-2 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: 7/e>92 t ~C:::>7 ~ ~~/~~~~ ;77 Assessors Map #: /? -.c?'2 -.1' /- ~,~ Tax Lot #: Owner: ~/?7,?-'~? .c??:/Y (_/.."7-?";7>,.-'=/ :2 Address: 7/09?" C:;fz/n~?I-/ ~ Phone #: City: ~/~C-O State: ?>A', y' , O~?~~ ./~~//&s Zip: 9 ?y~ Value of Fence: ~~~~ Fence Permit is $5.00 Contractor/Installer: /?t/f//?,~~ Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: 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 thi~ application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. ~~ ~4?A) ~.2_ 9'2- Date FOR OFFICE USE Date of Application: '-I-2-9Z Receipt # 7'20 "3 Total Amount Collected: ~"",,,""'" ~ JOB #: 926>520/ Issued By: <<~. '- -/p- Checked for Delinquencies: ~ Checked for Historical Status: c.---