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HomeMy WebLinkAboutPermit Fence 1994-12-1 . . FENCE PERKIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 7')':5 t..t>GtY#V~"j:f/ dyE Assessors Map II: /? '&>:;>~ "<::::>':0> V Tax Lot II: ~~-.....;. Owner: r.{Z~~~;r;r~ ~/?5'/:)LT~~~7' Address:'~ ~-/--~~.fli.:hone II:~' City: ~~L7) (~ 7:te: ~~ Zip: ~,Y:>"") ~.alue of Fence:~S-O. """€::> Fence Permit is $5.00 Contractor/Installer: --J:?.-r2 ,d._I f'tf!!: ~ ~;'( _' r Address: I ?L/( V- ap~..,L'l_7 ?"~ City: State: ~-.;.-;. /~/6S<"~ Phone II: 74?)-?~~ r?y::::>:> Expi res: tt!S -"'!?5"" Zip: Construction Contractors Registration II: 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. " .fiJ-:zI ~fh.t~ Signature ~ ,. /:2- /- Cf4 Date . FOR OFFICE USE Date of Application: /'2-/-e; y Receipt II /56-;;:>~ Issued JOB II: 9~5cr- BY:/~~~_ , /,/' Total Amount Collected: e:!;';~ L- Checked for Delinquend es: Checked for Historical Status: