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HomeMy WebLinkAboutPermit Fence 1991-10-2 .' t- ----'. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street , Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Address: 3?-5 ~A (l?/T'~ t~ ()3~(A ~ Tax Lot #: ~ok SCL~~asr SlVV'(\.L Phone #: J:~r;o l Job Location: Assessors Map #: Owner: City: .s;rv~ol State: o~ -14& 356E:) Zip: qr[4--1rr Value of Fence: 00 /DO~ Fence Permit is $5.00 Contractor/Installer: ow\t\.vY 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 state that all ,information on this application/permit is ccirrect and that I was provided with the Springfield Develdpment Code requirements for fence standafds. c /iJ , FOR OFFICE USE IQ.... 2., - q f Date Date of Application: It),- 2 - q I ',Job #: ClII. ISCJ ~/()~ ' : p..: Receipt #: "'2-1 4- g ~ Issued By: ~ 00 T ota 1 Amount Co 11 ected : 0 - Checked for Del inquencies:,~ ~ ."- + Checked for,.H.~~t.orical Status: V" " . / ,}- " ';' -. . .1'. -, (