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HomeMy WebLinkAboutPermit Fence 1991-12-3 . SPRING.LD ' FENCE PERMIT APPLICATION , . CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street' Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769' Job Location: 'i7jJ.~ ~OCJlJ4.t/E:/f Assessors Map If: I, r-i?-~JJ.1..f Owner:' /1.f1/1WJf/~(/-::fl.. GIf/;?/.d Address: ?rJ.tt.' J-,ocll.r;pEJ-.! .11 PE:~ Tax Lot If: 0 '8(..,,()(') v~~jf{ y ~~// . Phone If: 7'r1 OZ 5Z-. City: Value of Fence:t1D"~ . State: Zip: Fence Pennitis $5..00 . contractorlInstaller:\-\' ~\.\ ') AddressS-.\~ ~\'H' A I Cityf, ^~~~~\(''\ Construction Contractors Registration If: G~, Phone 1/:' ~ '-\.'L-6G6'L, State: C5L. ziP:Cx5Il\~'l - 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 infonnation on this application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. /77 tum~ rj, L -:;h~ signaturi J 2_/ 3/7/ 6atef / ., FOR OFFICE USE ,Date ofAP~cation: \~- ~-Q,\., \_ JO~CA \\l\,\Co Receipt If: ~ /:);?g{p . Issued By:' LN,~ Total Amount Collected: 6,a~ . ~ . . Checked for Delinquencies: ~ Checked for Historical Status: