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HomeMy WebLinkAboutPermit Fence 1991-9-6 . -. SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Office: 726-3759 Springfield, Oregon 97477 INSPECTION LINE: 726-3769 Job Locat i on: 79i&. $/':LL ~ "S?;::::. ~ y.z;:> Assessors Map 1/: J 7-0' - "Y~-vY Owner: 6Eb;::U:; t5= ~~A/;1?~ Address: 7.q4 4"EZLY ;;Sc. //7;) v' . City: e::;.p~Ln State: - / Tax Lot 1/: tPPS<:> / Phone II: 7'1")-6'/159 c:::>71. Zip:q~~/:;;::> Value of Fence: -;:;f 1'0. Contractor/Installer: ~~~~~ e>- Fence Permit is $5.00 "* Address: Phone II: City: State: Zip: Construction Contractors Registration II: 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. .p~) .I [/.uANI)...... Signature . . 1-<::-9/' Uate . . FOR OFFICE USE Date of Application: "7-~-<?/' Receipt 1/: "2/2' 2t? Issued By: c... -:. """"" Total Amount Collected: ~ - - ., Job II: q //0 7e::7 ~A4-~-;V /P' Checked for Delinquencies: - 'Checked for Historical Status: