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HomeMy WebLinkAboutPermit Fence 1997-6-6 - -... -. . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: S.,p~ rT..J /7 ()'5;)<-/ ODn ,k,.~.. Assessors Map ~: Tax Lot ~: 107- Owner: <_...J ()~ -. f"'\..4_~'~ , Address: ., ..71. r::'_........I ,If ..~"'- Phone ~: 7"1(-3.''''( City: .!f~,_)C~ll State: ....0 Zip: '17'177 Value of Fence:---L.S"4t) Fence Permit is $5.00 Contractor/Installer: -<..I P Address: Phone #: Ci ty: 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 vas provided vith the Springfield Development code requirements for fence standards. 'FIr ))" Q. 'J.tI.. .- Signat re (. /, At) Date FOR OFFICE USE Date of Application: 0/&(1],- Receipt #-/) 2. (f 01 ( Total Amount Collected: </> S' W Checked for Delinquendes;,~ Issued By: JOB I: 1_7 Dg 7 (p 'i.. m a--- Checked for Historical sta,tlls:/1f11--c..>--