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HomeMy WebLinkAboutPermit Fence 1991-9-5 ~..J .' .1 . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Tax Lot #: CJL[- (,.,() fi J IS ') Assessors Map #: 1/()':l.?.S'2Q Owner: Jk~, ~.-{') vP V'\.q PA/" f1 I 0 ' ':;:;?~<2:S3 L-L (j CJOj S 7.-td7{'V\(J . State: 'k;,OC/",j Job Location: - \rYI r;u~ Address: Phone #: /41n. ~9::J/ Zip: g'7 City: of). Value of Fence: Fence Permit is $5.00 Contractor/Installer: (') I , I\r,{) rJ 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 state that all information on this application/permit is correct and that I was prDvided with the Springfield Development Code requirements for fence standards. .x~~/t9~r (signature tf ""'J I ,;- ctJ>.kJ ~e //''Xi , FOR OFFICE USE Date of Application: C1fskfl Job #: C:U.l12!:Lb Receipt #: dlall-f Issued By: .!:I S (){') 6d~ Total Amount Collected: Checked for Delinquencies: .... ~Checked for Historical Status: ____