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HomeMy WebLinkAboutPermit Fence 1997-3-24 . .' SPRINGFIELD FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fiftn Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location:~l~~ ,ThL~() S/ - - I Assessor~p~ #: \1 roOd.~ ' owner:-:1&) (1- Qrld-frrntl nJI) ~ Address: tJh3_c) J)a>>~ 51- citn:JpriV Ute, Ou Value of Fence: ) ,:)7)(j Tax Lot #: f)1C\[)\ (2lVl1l~~ . ............... Phone #: "!i.JI-/33l Zip: q 7[,/7'1 Fence Permit is $5.00 Contractor/Installer:~..1 ~ ' '. '. - 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 stated that all information on this application/permit is correct and that I was provided with the Springfield D: ,ito t code requirements for fence standards. ,dY~ Sigilature { 3hl//4' 7-' Da t~ { l , FOR OFFICE USE Receipt II ~.cxJ Issued By: #: C\ lD\-\- Date of Application: ~~'~.O\I Total Amount Collected: Checked for Delinquencies: " Checked for Historical Status: