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HomeMy WebLinkAboutPermit Fence 1991-09-12225 Fifth StreetSpringfield, 0regon 91 417 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION SPRIT\TiFIELE, Off .ice: INSPECTION LINE: 726-3759 7 26-37 69 CITY OF OREGO'V Job Location:38 t/- Assessors Map #:11 535ts Owner: Tax Lot #: Address, 8,rE Phone #: 4%-SYSa City: d Value of Fence:6 3o. oo Contractor/ I ns ta I I er : Fence Permit is $5.00 u State:Zi p:gJw/ Address 7.O (1-6.:4 36 Phone #:1t/A -83),,1 Zi p: ?*zr - Construction Contractors Registratton #: ?7/6G gx pires t /1--=t-7 / C'ity: gna ure itut. , A^- By s'igning. th'is permit/application, I agree to call for an instence has been constructed (726-3769). I also state that all !his applicat'ion/permit is iorrect ano that I was provided witDevelopment Code requirements for fence standards. pection once my'informati on on h the Spr i ngfi e'ld ?- /z-rt Da-te FOR OFFICE USE Date of Appf ication:4-t>-c4 I Job #, 4l t O'( Recei pt #: Zl L1 3 Issued By: 4 -hl"r.-- Total Amount Collected, 5 0 Checked for Delinquencies:L-.r'''Checked for Historical Status:N-_