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HomeMy WebLinkAboutPermit Fence 1991-6-10 .. .~. .. ~. . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: ;) '-/).. / ()Or"nrk \-I-rpp f.. Assessors Map #: Owner: t~ t) r ; ,., (\ p /7/J "<, L "27 .~ /Vi : +i. 2-- 2-- Tax Lot #: A7(:.t'? Address: S/).y"v\p,. Phone #: 11/6 -/?t2X.; City: <.;" r'- ; n ,,+=; e Ii State: IJrplf) 11. Zip: 97~:7:7 (J~ Value of Fence: )(() /) Fence Permit is $5.00 Contractor II ns ta 11 er: () lAJ fC .e.I Address: Phone #: City: State: .Zip: Expires: Construction Contractors Registration #: 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 correct and that I was provided with the Springfield Development Code requirement~ for fence standards. /~:"~~., - -/ Jffh~rl Signature ?-//J-fY Uate . FOR OFFICE USE Date of Application: &~(O-/( Job #: 9/c:J0!J1 /#~hV'-L Receipt #: :::J() 7(':::l, I Issued By: ~c;'p-o V Checked for Historical Status: -- Total Amount Collected: . Checked for Oelinquencies: