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HomeMy WebLinkAboutPermit Fence 1993-11-22 . . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION .~ 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: /'1'37.;;t" ______y Assessors Map #: / '7 7):~ -:2-."/ / 0 Owner: mtni28~ ' (!~ . Address: /1'3'7 .::I~ sr, Tax Lot #: 2f91'J7J City: -1I~-~~f4 .s- of Fence: l.;(tJS,~ State:. ~~ Phone #: '7vt - d;2-// Zip: 97'1'77 Value Fence Permit is $5.00 Contractor/Installer:fl... o Address: PO&,.,,- 3{'" City: .s~ f.d./ Construction Contractors ~- e.o . State: ~ v Phone 1I: 7Vt;J52.-Y Zip: '17c(71 , Registration #: W/bh Expires: / Z- - 9'1? By signing this permit/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. P "f 4a-~~ Sign'a ture // /.2Z-/~ Date FOR OFFICE USE Receipt # //)'5"7 ~ Issued By: JOB II: ?3(7~,0 ~~ Date of Application: /r-2-z.-'i':) - ~ " Checked for Delinquencies: , c:-.?O ~ Checked for Historic~l St~tus: Total Amount Collected: