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HomeMy WebLinkAboutPermit Fence 1996-3-5 -. . '. ". . "~" SPRINCFIELD FENCE PERMIT APPLICATION CIty OF SPRINGFIELq BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 " j, 1 Address: City: W//c:Jj~ Job Location: Jff....? 44 Assessors Map U: /7 (J3 ;J J J ' Owner: ~m/J 1? /J;/t? Addms: ~?--10S- M~ 0/?t-J City: ,504/ ,/ :::::o::o::::::~:~; ~;;';;;;;: ;~ool&,-, %~d Phot/n: '- C/' ,... ,: ' Zip: ' ~j?-'17/ Tax Lot u:Li:27 Phone U: 7/6~f Zip: 9y-/j77 State: O/? State: O? ConstL'uction Contractors Registration n: Expires: ~ By signing this permit/application, I agree to c fcncc has bccn constructcd (726-3769 , this application/permit is cor c n Dcvelopment code requirc~t 1 for an ated that as provided dards, inspection once my all information on with the Springfield -- ;;- ( "l::::- " - '- .? --~5~.~ ________ Sig~ / - -~~ D~/ - " FOR OFFICE USE Date of Application: ~-~~;P~ Receipt n ~ Issued By: ' JOB 1I: 9.6c:::l2.<' ~ <2~,-. / Total Amount Collected: Checked for Delinquencies: ,F Checked for nistorical Status: