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HomeMy WebLinkAboutPermit Fence 1994-7-5 - -- . SPRINGFIELD 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: SJ.-I q f)/tt$ ~ Assessors Map #: II 0 2..3:)~ Owner: S ~t~ \, Address: <- ~ I q Tax Lot #: ()tlo~L i'\I\. c:.. f ~\rv" ,_>J 0... rt~ Ci ty: 41""0 'h'r::lJ.... Value of Fence: ~ {JC)O-Cl-C> () ('AL' .~'~ State: Phone #: (!y(lE. a fYh \ Zip: 7o/J,<1( ? 7f Fence Permit is $5.00 Contractor/Installer: 6\.l rs--e-~+ ~c..~ Address: I{)/.s~ tit t rc>-~ Sn'u\-/~ City: rt..<...~~'E' State: $12E(J~ 9tJ 60 ~ Phone #: Wl(-^J..~ Zip: '}7YO,," Expires: 4. f)2C{c:; Construction Contractors Registration #: Dy 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 this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards.\ ~dak 7/~//i Dat~ . Signature FOR OFFICE USE Date of Application: , f\. \0 .g 4- # \0(1<6' Issued ~d) vf '-- By: JOB 0Cf\01C.s Receipt Total Amount Collected: Checked for Delinquencies: Checked for Historical Status: tp I '~