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HomeMy WebLinkAboutPermit Fence 1997-4-17 -e . SPRINGFIELD " FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 City: ~ 7 ')1 .:r.;J .11 /8D103/'-( ~ ..-.,J -:r. L-J,...Ih- &. 7~ 1 rOO J;- ~~1~t.lJ Fence: J',;J rO b Tax Lot iI: 71/ 0:2 //JO Job Location: Assessors Hap fi: Owner: Address: State: Phone fi: 1Y'- 7.r,,' Q(l Zip: " C; 1 v.U Value of Fence Permit is $5.00 U"',lI1."".J;n-, rr dt y I(~ (lJ E. U City: /11.Jc,...L'-~ ~'..(~State: Construction Contractors Registration iI: Contractor/Installer: (,.till Add l'ess: Phone iI: .dt roC67Q<t; Zip:---.57 l./I~ Expires: ItJ,Q-Q7- pJ.}'. 1ro"j By signing this permi t/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. "'""~-- "r./L- FOR yj" I" .., Date , OFFICE USE Date of Application: [(-/7-17 Receipt fi JS3':7l-- Total Amount Collected: ~. (J(:) JOB I: q 7n57 !- Issued By: w___ Checked for Delinquend eS: ~- Checked for Historical Status: , ~!~