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HomeMy WebLinkAboutPermit Fence 1996-4-1 r/ .--. .~ FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job ",,,',,' L\-'6~-l\ S:rJ~ ~ ''''''''1\ MOO" \ 9;OZC6:'J. _ ,., ....,.' n?UXJ owner\- 'tJ)('\ ~~"O vYl _ (L'm~ 0 t? ) City: 0 ('l ~ate: . Zip: 0l4,5<: \ - ' Vol" of ',,,eo QN?cO .""" P'~'" i, $5.00 . '1 Addres : 4-l13 Phone II: q:J4 Q'1-'O City: _t Y~fJlL State: ~ ziP:OC14()~ Construction C~tractors Registration II: \c:>lcf1 \()( Expires: .:Z;' "'1"':\ By signing th1s permit/application, I agree to call for an inspect10n 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. ,fJ~:tmtCa.~~~ Sig a ure C) \ L( r / - 9.b Date FOR OFFICE USE Date of Application: 4 . \ .C\ lR \ nJOB I: C\ 5\L\1.' ") Receipt II ~tJC\ \\ ~ cD. Issued By: \J'~~ Total Amount Collected: ~ Checked for Delinquencies: Checked for Historical Status: