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HomeMy WebLinkAboutPermit Fence 1993-5-19 '. . SPRINGFIELD , FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 275 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 JObt~~: t:f$ flo LL'1 Assessors Map jI: \ M~O~\ Q CHR.I s ft1AI<~-r()fJ Address: ~ Y~t... ()",e'lIl?-1l 4v f City: rOt\)( of i\ t Value of Fence: /000 )7 tZH. T ({CRfJt(<, Y6 r~r <f IIv(L '( ) Tax Lot jI: ~(~c:) Owner: Phone jI: C)lok7Y- r? 10 Zip: 91(\ 1 7 State: rA. Fence Permit is $5,00 Contractor/Installer: DV,lNfR. INST AtL-t.^ Address: Phone jI: City: State: Zip: Construction Contractors Registration jI: Expires: By signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is co rect and that I was provided DfZ~ 00''4'.' f" f"" "..,,,,., S~(ure t . inspection once my all information on with the Springfield s- /'7 (71 Date FOR OFFICE USE Date of Application: .<0-/~.<9 :3 Receipt jI~~~~ Issued JOB jI: 9:2///7 BY:.~_;"" ~ Total Amount Collected: "5:'''' e:> Chec~ed for Delinquencies: - Checked for Historic~l Status: ---