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HomeMy WebLinkAboutPermit Fence 1991-3-22 -~. ,.. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION '225 Fifth Stfeet Springfield, Oregon 97477 Offi~e: 726-3759 INSPECTION LINE: 726-3769 Job Location: /9i// Cff-~;r~ {p. ... Assessors Map #: J7-<::)-"3-:2S--~--::?... Tax Lot #: /6:::?C>O Owner: ~#~/~ a/yrc~ ~-;;'m-~ ~ ~Gsc::...'o~~~~) Address: 5~E' Phone #: 7'16-~S-:::> Y' City: C;;PrLP_ State: ~. Zip:q?c;/.?? /-/ / . Value of Fence: /Oc:>c? 00 Fence Permit is $5.00 Contractor/Installer: t()WA7~A.S' Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires:. By signing this permit/application, I agree to call for an irispection once my fence has been constructed (726-3769). I also state that all information on t~is application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. ' (:L ,,/. /~Jl1tUbl ,) Signature I 3- 22Ji\ Date FOR OFFICE USE Date of Application: J'-<:?-9/ Recei pt #: J9ts~..5 'I I ssued By: Total Amount Collected: ',.7=- ~ Job #: C}/ ~2,.-.S-3 0~~~, .'l1,/: , , . / " Checked for Delinquencies: ---- ' , Checked for Historical Status: