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HomeMy WebLinkAboutPermit Fence 1993-05-10CITY OF OREGO'V FENCE PBRHIT APPTICATION CITY OF SPRINGFIELD BUILDING SAFBTY DIVISION |sPFIiIGFIELD 0ffi ce : INSPECTION LINE: :, 7 26-37 59 726-37 69 225 North Fifth Street Springfield, Oregon 97477 N" Job Location:lleq 3 Rd PL. SPAING,trr o op- Assessors Map +: )_) Oa,2 {)4 Tax Lot #:,l ovne. O Art tn / SpArn SnC Ci ty:St.rr=a Address,lSTa SCrmS BUCIa N gd.Phone #: 597 -q3L/2 S ta te:oa zip:Qt+tz Fence Permit is $5.00 O,au,o S.S iYLb Val-ue of Fence: ,{ Contractor/Ins tal1er : 0-4 BtAp. Address, q qq r$ L{.}L St-Phone o, 147&.3bY Ci ty:spar FlEt-,O State:Zipt r{ Construction Contractors Registration #:SqaPs Expires: By signing this permit/application, I agree to cal} for an inspection once my fence has been constructed (726*3769). I also stated that all information onthis application/permit is correct and that I vas provided vith the Springfield DeveIo rt eode I ts for fence standards. FOR OFFICE USE lt-/a-QSSignatureDate Date of Application:sl , ol"r,, Receipt #9qa Total Amount collected. &5oo JoB *: q\ 6ba3 Issued By:()o o oe Clrecked for Delinquencies: ./'' Checked for Historical. Status: /"