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HomeMy WebLinkAboutPermit Fence 1996-8-15 ,/, - . . .:- . , FENCE PERMIT APPLICATION CITY OF SPRINGFIELD . ,. I ~ . BUILD~NG SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 .... ~?3 2. /I/~ ~. Assessors Hap #1 /~'P'2..' &:$5-/"=3 ,7/~#A/ ?~?-'c:. ~ ~?_~ ~ / !/~ f5:?C h~t:.-/) /' Tal< La t D: C'~=<0z::::> Job Loca'tion: Owner: Address: Phone #: 7~~-~6 City: State: ~. Zip: ""9:::>0/ ~ .,. :l Value of Fence: 7~~-' Fence Permit is $5.00 " Contractor/Installer: & ~<~~/-r Address: Phone #: City: State: Zip: -- Construction Contractors Registration #: El<pires: 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 was provided with the Springfield Development code requirements for fence ,standards. /.i)~ fJ Signature ) _/1 /I ~ rr - I" ' '16 Date , . FOR OFFICE USE , I" Date of Application: q-/5>~ ~ " 'JOB I: 9S"'/~~ ,~~- Receipt # /~3 "=3 Issued By:, r Total Amount Collected: .:?:~ Checked for Delinquencies: . Checked for lIistorical Status: