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HomeMy WebLinkAboutPermit Fence 1993-10-1 ,;-e ta- _1... SPRINCFIELD FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: .-' ~t73 U:?ff' / n-e S" J"Z- IfJj,M~ Tax Lot 1I: 5""~ x Assessors Map 1I: (~O2... 0 Owner: ~JJJ fjYJ(jllktriy Address: 4ffC/....<, r.:-laClee. Phone 1I: 1 tfl - ~4=t City: ~n~nt'rJ_ State: I't! _ Zip: Value of Fencl(!: c'S'.o.O-O , Fence Permit is $5.00 ) Contractor/Installer: ----. ~U/A,.) lbe. Address: Phone 1I: City: State: Zip: Construction Contractors Registration 1I: 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. V;;~/'5'- Sign~ure ~ . JI.~h'AAJ. / * {}dLbLu {. 1r;tt5 Date FOR OFFICE USE Receipt # J,c)~t:;"" Issued By: JOB 11: q</C;-t) '7 ./J~. Date of Application: //)-/-)'~ (~ ,. Total Amount Collected: 5", "0 Check.ed for Delinquf'ndes: ---- Check.ed for HistoricAl StAtus: