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HomeMy WebLinkAboutPermit Fence 1994-8-12 . . FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726....3759 INSPECTION LINE: 726....3769 Job Location: gSI CW~~ ;=" LA - --1 , . , Assessors Map It: /7~."5 22- ~I Tax Lot It: CJ :J ? (rn Owner: ./~\.v' I/(/~~~ - ( W~~.r ~k l~d7. 99"/-2-g~2- Address: /9, ';'/.... Phone It: City: F~~.n-~ State: ~. Zip: 9 7d /? 9 , - > Value of Fence: ~~C) ,6-0 Fence Permit is $5.00 Contractor/Installer: /'J/,d" }' &f: Address: Phone It: City: State: Zip: Construction Contractors Registration It: Expires: , ny signing this permit/application, I agree to call for an inspection once my ience 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.' ~"""" 4) un..\\t.o )~. ~-....... ,-..., Signatur~ .~ ~J ,. \'A. ~'"\ Date FOR OFFICE USE Date of Application: ~ //2/Tf Receipt It /4 -=?/\~ Issued By: ~ - - .;; JOB It: 94/232- ~ '- Total Amount Collected: ~~ Checked for Delinqul'nd es: Checked for His tori c,ll. Sta tus: