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HomeMy WebLinkAboutPermit Fence 1994-8-2 -~ .. . SPRINGFIELD FENCE PERHIT APPLICATION CITY'OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726....3769 (?1~7L('1 Ai Assessors Map #: /7 0 -=, 2..2---\ I owner:,(;~\.., IJJ. ~ Address: 1 \ 7 t:; 1J.-t'1tJ v) ('.k...-- F/~~~ . () Value of Fence: $ ?D71 c:'V Job Location: r J~nNJ'/ (u-4 / fJ lax Lot ft; ( '-( t56 r2--d Phone #: '~lf :=) - q/i L Zip: 0/71(/)/ Ci ty: State: ITf2-- Fence Permit is $5.00 ~ I .' . Contractor/Installer: """"'-, .........l,__~ (n~~ Address: Phone ft: City: State: Zip: I, I Construction Contractors Registration #: Expires: ny signing this permi t/applica..tion, I agree to call for an inspectiori 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., a ~ 2~ 'j-)..~cr</ Sig~ Date FOR OFFICE USE -5-2..-c:;f Receipt # It{ (7L Total Amount Collected: ~. ~ Issued By: JOB II: q <{eJL('p-C; ~ Date of Application: Checked for Delinquendes: ,/ Checked for lIistoricilJ. StilttlS: c:.-