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HomeMy WebLinkAboutPermit Fence 1991-6-13 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: Lt't'7I$ 4.4?~/J~//f2 ?~ Assessors Map #: 17~02~ t/-' '!<j Owner: ~N~LD l]~V/5 Tax Lot #: tC!?07/L/ Address: :)At~ . Phone #: 7Y /' c/o7-:!< City: ??FLJ?--- State: ~/? Zip: Value of Fence: //?-? .?c.,. Fence Permit is $5.00 Contractor II ns ta 11 er: ~~p;z~;:;z::;r Address: Phone #: City: State: Zip: Construction Contractors Registration #: ~xpires: By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also state that all information on this application/permit is correct and that I was provided with the Springfield Development Code requirement? for fence standards. a~A~ti~ \^~ Signature (0-/3- 9/ Date FOR OFFICE USE Date of Application: ~~/;r-7?~ Receipt #: ;:;?c::; 370 Total Amount Collected: Issued By: ;5: c:::Ye:::' Job #: 9/Ph:? / ;;;://~ ~ / ~~:; // /--~/ ~..::......- ~ . ~/7 '" , . . - - -7' - Checked for Delinquencies: . Checked for Historical Status: