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HomeMy WebLinkAboutPermit Fence 1996-8-9 :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 Job Location:!l2M \Jxm(\Y\ ~ ~)\~\q ~ eJ2- A"""~ \f)03~\\ ~ To';o' "f1l2M ::::::"~ ?,r\\~~ 'R~Q~_lr ~'~4R1c{5~1) W"_ D,')OQ (\lL- ""'.,~ ",: It!'\() I Value of Fence: ~J)~~ Fence Permit is $5.00 Contractor/Installer: ~ \\o.~ ~~ _,~, ~ ~ f-. . AddreSS\ t)a~. ~_'\Q.. C2.f1_\Jo~ _ )Phone #: City: \.')\J_l')~. State: B'\L Zip: l\.~~L-lo ',m, "," ," "', "" "" .",,1m, ,;., I' \ C)\ lo \ \ n ."1",, f5 ~ 1{((J By signing this pet-mi t/application, I agt-ee to call- for an inspectiqp. 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 vith the Springfield """l.'~;L fo< f,,,,. "",,,,,- 5'- ,,_ 'k . /1./ _ 1 lature Date FOR OFFICE USE date of Application: 4. q <::{(o Receipt # ~\D~ iD Issued By: Total Amount C~l~ected: ?') P \.!~ #: ~ CX\OlJtC6K \J \rD / Checked for Delinquend es: Checked for Historical Status: