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HomeMy WebLinkAboutPermit Fence 1991-01-24225 Fifth Street Springfield, Oregon 91 477 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION siPRIl{GFIELED Off i ce: INSPECTION LINE: 726-3759 726-3769 CITY OF OREGO'V Job Location:2or I (8t 5+. Assessors Map +: /7na 3A eO tax Lot #:5*a Owner :s A Address: Zot sj I ltt, Phone #z aZb' 3'zce 3 Soe.,ru,r f rg I b State z b Z.Zi p:9trt-77City: Value of Fence:Qleo:Fence Permit is f5':t0-c/ry N/* o/*^rr.) Construction Contractors Registrat ion *: 1// &, 1. txpires ' /4 + By s'ign'ing this permit/appl igl!i9l r-l agree-to cal I for an 'inspection once my fence has been.6nt[rr.[-.[ ti2o-gt6s7. -I also state that al] information on tnii-appiicationipermit is iorrect anO that I was provided with the Springfield Devel opinent Code requ'irements f or f ence standards . t* >+- Contractor/I nstal I er :O^) Address:Phone #: City:State:Zi pt ) 2y'77 YhW ? gna ure FOR OFFICE USE Date of Application:Job #: Rece'ipt #:Issued BY: Total Amount Collected: Checked for Del'inquencies:--Checked for Historical Status: ner /tI2 rza'z )