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HomeMy WebLinkAboutPermit Fence 1993-4-15 _\ '- -, SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Owner: ;Jf. -: ~L f>.o6 ~;. " . -- ~_/7 ,/'/', )~C'-' .....;/. 5TJ~?b - '/~,' ,. / S-6~ .~/S7'/~$ /S7?:? ~ 7'-// 1//4>4 //\/..'5~' Tax Lot #: 6/~ Job Location: Assessors Map #: Address: Phone #: 7 '/r-:: -?~:2.&> , , - City: State: p/? Zip: ~,?7C??> Value of Fence: ? ~t?' _ ~-- Fence Permit is $5.00 , contractor/Installer:~~,~ ,~~~'~ Address: p t7. .8'.9Y' /&~3 ,., ,.-- bt.-4i~~e ..- , / Construction Contractors Registration #: State: ~? f~ .Y,? ~.., Phone #: ?y'3-q?2~ Zi p: t::::3? Y ~e::> Expires: /- '2 ~9~ City: By signing this permit/application, I agree to ~all for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. i ( I d d"" // Q q I 'r7 1'1 Signa'ture . 1/.-/.5-93 Date FOR OFFICE USE Date of Application: o/-/"~~ 6~~'- . Total Amount Collected: ~tP' JOB #: q':3~Y9? Issued By: ~ ~ ' , 'lv-- Receipt # Checked for Delinquencies: / Checked for Historic~l Status: A