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HomeMy WebLinkAboutPermit Fence 1994-2-4 . . SPRINGFIELD FENCE PERKIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: q,.~, /~r:..,'>-., l\:). (')OC)'i.R1.,..li..\ \COp Assessors Map #: I, C\ ~ L:L=3 I Tax Lot #: 6?i{)O Owner: ("!Au-. \. ">,"'\n\ \1Ol? :.;, ~ , Address: \ Q 1::\ (~ "U.,. \)p\~ '\::) Q City: <;:;:\~........<'.<:-~ State: ClGC.. Phone #: ~c\'l_"ri. 'i<.F-,~ Zip: ~)\..\F)..,,~ Value of Fence: ?b5f, Fence Permit is $5.00 Contractor/Installer: T^nA9'V 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 Development code requirements for fence standards. ;:.4..-\A-<\L\. Date Date of Application: ;:~L{ -1..../ Receipt # I \ 0C1 V Issued By: JOB #: qy.n 12.-0 (1~ Total Amount Collected: t;.r:X) Checked for Delinquencies: " ~/ Checked for Historic~l Status: ~.