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HomeMy WebLinkAboutPermit Fence 1993-9-22 . . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: 6' ,;J.1t:, ;;(~J A:e:; , Assessors Map #: /7-o2-"?"?-~/ Owner: o(~ ..rJH.L ./ ,/. Address: r::t't~7g,! ...Rzr-~.-"" J M _ City: f'(..,/J,J State: /)1. Tax Lot #: )"2--~ '* Phone #: ') 1/ ;? - bJ....,.d Zip: q 7~7y( Value of Fence: b~~ eK>> Fence Permit is $5.00 Cont~actor/Insta11er: ~ Address: Phone #: 'City: State: Zip: Construction Contractors Registration #: Expires: 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. Yn4/1 a....... p sign~ure ' ~ 9-~';?'-'7""=3 Date FOR OFFICE USE Date of Application: q--:;;'>-2 ,.." 3 Checked for Delinquencies: ~~ ~ JOB #: ~P/S7' Issued By: /'7....::::'~ / 7~- -'- C) ~} '"VJ Receipt # /z;~-<. " Total Amount Collected: Checked for Historical Status: '~