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HomeMy WebLinkAboutPermit Fence 1990-3-19 . .~ . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: Job'Location: 137 q q t<oJlm ,'tL Assessors Map #: 1 g- - D) - (')1-1- / Li mr, f'Mhm 67 t1 q J<rdm I GZ-- ?;7PI d. Value of Fence:f7D(j,Q!2- Tax Lot #: Lfl () () Owner: City: State: Phone [#- #: ~J!-I1-11/4 Zip: q141f Address: Fence Permit is $5.00 Contractor/Installer: 157A ~ 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 state that all information on this application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. ILrI ~ Signature 3//~ fo Uate , FOR OFFICE USE Date of Application: 3- / '1- '10 'ReceiPt #: / /./ 3/0 Issued By: 5' [)O V Job#: CJ{)()()5/.- IlALL:. ' Total Amount Collected: Checked for Delinquencies: Checked for Historical Status: //