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HomeMy WebLinkAboutPermit Fence 1993-12-14rENCE PERHIT APPLICATION CItY OF SPRINGFIELD BUILDING SAFETY DIVISION SPRINGT-LD Office: INSPECTION LINE: 225 North Fifth Street Springfield, Oregon 97477 7 26-37 59 726-37 69 CITY OF SPR"VGFIELD,OREGO'V Job Location: 'Assessors Map # z /-t-rn+=F / -2 / *D Tax Lot *: Ovrner: Address: Ci ty: €Phone #: State:zip, ?2/7:B Value of Fence: ?&A. +a Fence Permit is $5.00 Contrac tor/Ins taIIer : Address:Phone *: Cityr State:Zipt Construction Contractors Registration #:Expires: By signing this permit/applieation, I agree to caII 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 vas provided vith the Springfield Development eode requirements for fence standards. ZrL 6-"z-<-92 / 2/ ,?,/ z -iSignatureDate FOR OFFICE USE Date of Applicatio", /7-,//^?7 roB *, 2=/ B:5/- Receipt *Issued By:.Z**77Total Amount Collected , fi ar? Cheeked f or Delinquene'ies:Cheeked for Historical Status: 7?.-*:- -