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HomeMy WebLinkAboutPermit Fence 1996-8-1 c -.' .1 SPRINGFIELD , " FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: ~f S~ -LbeEr.rzi:/7'ri 1~01f)(..lZ 7 (7'Z"M7l' ~~/~ ~ '70 /1'/Ik. CT Det'c.3C</~t:..C ' Tax Lot #: ~ Assessors Map #: Owner: City: State: (!)e Phone' #:, ;><yE/-J'26) Zip: 9 >f';z.~ ' Address: Value of Fence: /50& ,cPO Fence Permi t ' is ,$5.00 , Con tr:lc tor /Ins taller: ------.. c::::2 .4 ;. .- ~ / "';"'-/f y.... .~ . Address: Phone #: City: State:, Zip: Construction Contractors Registration #: Expires: By signing this permi.t/application, I agree to call ,for an fence has been constructed (726-3769). I als,o stated that this a~pli~ation/per~it is correct and that I was provid~d Developmen t code re,qui rem s for fence standards. ' inspection once my all information on, with the Springfield --r S~gnature %J>/ift6 Date FOR OFFICE USE Date of Application: '72; --I ~1,( ~ ,JOn I: 9@i!J3 90 ': Receipt II 'ZZ7/4 ' Issued By: IM~ ...,.. Total Amount Collected: ~crv, Checked for Delinquencies: ,..-----checked for Historical Status: ---