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HomeMy WebLinkAboutPermit Fence 1994-11-15225 North Fifth Street Springfield, 0regon 97477 FENCE PERUIT APPLICATION CITY OF SPRINGFIBLD BUILDING SAFETY DIVISION SPRINGFIELD 0ffice: INSPECTION LINE: 726-3759 726-3769 CITY OF OREGO'U Job Location: J ,/76 Ctffa { AssessorsMap#rt-\ C3 )1 4tj rax Lot #: C/ t Oo Owner: {2 e ir1,4 //r'5 Add.ress: Ci ty:State: Phone *r 7///'///A zip: Q 1!1 7 Date od9Value of Fence: --Fence Permit is $5.00 Con trac tor/Ins taller : Address:Phone #: Ci ty:State:Zip: ConstructionContractorsRegistration*:-Expires:- By signing this permit/application, I agree to caII for an inspection once my fence has been constructed (726-3769). I also stated that all information onthls application/permit is correct and that I vas provided vith the Sprlngfield Development code requirements for fence standards. 7''.( ;i?ai:r':{'// t'r<t7 SE/ F (' sig:nd ture FOR OFFICE USE Date of Application:N0/ q JOB *:?qt7e / Receipt *Cts q2r Issued Total Amount Collected:5.e Checked for Delinqueneies:V/ Checked for Historieal Status , t-/ ru