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HomeMy WebLinkAboutPermit Fence 1996-6-11 ~. . SPRINGFIELD FENCE PERMIT APPLICATION ' CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Office:, 726-3759 Springfield, Oregon 97477 INSPECTION LINE: 726-3769 Job Location: ci2r-7 -Z r;!,eand ~ fA ?lfll"tt1 Assessors Map ft: /7 Os c:2 L/ 0000 Owner: RoJ eUl+eJ) . Address:.~~'Z DI!lh1/J, tJ~a- fA Ci ty: 5JfrtIJ State: E2 ~ ~ Value of 'Fence: r9- 'SOD Contractor/Installer: .-<.i. oln. Ib~ &#..cff') d V/5)' -I- A- ()/2- Tax Lot ft: 7ojo Phone ft: 7t//:101C/ Zip: 97 C/'? 7 Fence Permit is $5.00 Address: ~ ~ 77 -r:;> City: ~/2- Phone ft: State: Zip: ()~L.r77 . . . -- Construction Contractors Registration ft: -- Expires: By signing this permi t/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/per' 's correct and that I was provided with the Springfield ".''A' q"" ,." foe f,." ",.d"d,. h /IIIQ L Signature~ -- Date I I FOR OFFICE USE I ~ Date of APplication:-'& ~/I-f(/:J Receipt fi Dug?&:- Total Amount Collected: it S . C50 JOB t: By: /7 - /Ylc9ch odo ....... ~q(dJ7ll Issued Checked for Delinqu~nries: ..,.,...-- Checked for lIistorical Status: ~.