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HomeMy WebLinkAboutPermit Fence 1994-6-2 -- ~, ." 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: 08q1 r:1JfSCf1t(~ Assessors Map #: \6000~ Tax Lot #: 05lilC'CJ Owner: <P;jhflZ. A. 't- NA 0 L. UPlR ~('~, ,~ lexC,1 r1rr<,~ 1fL- -6-rPY State: roQ, Value of Fence: <j{)-<-foo / IYikT I .f) Address: Phone #: 1L(L-(-/~01 Zip: Cf7Lf7t City: Contractor/Installer: is $5.00 Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: Dy signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Developmen t code requi remen ts for fence standards.' ~';, y ~ FOR OFFICE USE inspection once my all information on with the Springfield , Vt~ d/ It'(fd . Date I Date of Application: r 0 .~.C-ft4 Receipt # \?J\c::-tJ 00 Total Amount Collected: ~. Checked for Delinquendes: 'if ~ Issued By: ~~B #: ~\f)~cr Q~\D<\..J - , _ <{J \ Checked for Historic~l St~tllS: