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HomeMy WebLinkAboutPermit Fence 1990-3-2 . ---------- J;: \, . , SPr;ttFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: SffB IICrY'/(J(.) Assessors Map #: ,\ f)():)Q'7 l~ ~ --\-e.~ ~ f? Pa.:\Vl'"' ~ Address: ~g'i '"*Q...... ~c...l ( L.::- V J 7<J ~ Tax Lot #: ()/ frY) Owner: Phone #: .3 ('I- 92.'70 Zip: 5' ?ycl City: State: of<. Value of Fence: ~ 2..0' v Fence Permit is $5.00 Contractor/Installer: ~ h-....,C Address: Phone #: 3'-1'-1- '72?0 City: 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 state that all information on this application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. ~ 3- 2-9tJ Uate Sign~ FOR OFFICE USE Oate of Application: 3 -~.9{) I jJotf..#:. t!!/ltjLf()(() Receipt #: LL.o..r14 (X!Jd By: (7)(j):J ) Total Amount COll;~_ Checked for Delinquencies: c....---" Checked for Historical Status: ,-_/