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HomeMy WebLinkAboutPermit Fence 1997-5-21 -e .,- '....... :~ FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: ]26-3769 Job Location: 1 tq lo (ylo. uu DV l Assessors Hap #: Jto 2() J- J 2 \X(1V\ -t- wNe:e} H6f:;e Address: 1L1la G{o.Uef' l)( City: 0f)f\\~~f)~ Value of Fence: a{rfl\oi ~IODO tt)f Tax Lot #: /5{)O Owner: Phone #: 7~~- l?Z;C Zip: q74 7fJ State: Of Fence Permit is $5.00 Contractor/Installer: - ". Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: lJy 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. ~~(fV\ 1~~ Signature 5 'z.-I q 7 Date FOR OFFICE USE ., Date of Application:-.J / J./ / q7- () 2 'S ~,cIL/ Issued By: JOB #: q 701. O~ \.f: ,h/J LA. Receipt 11 To tal Amoun t Collec ted: <:J, '(, . n 0 Checked for Delinquencies: Checked for Historical Status: