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HomeMy WebLinkAboutPermit Fence 1992-10-16225 Fifth Street Springfield, 0regon 97 477 FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION '- SPAINGFTELD Offi ce: INSPECTION LINE: 726-3759 726-3769 CITY OF SPRINGFIELD, OREGON Job Locat'ion : O8o 36 {4. Assessors Map #:Tax Lot #: 0wnen Q./n//e * a ,/a,ue r4nrpfszzzEz-- \ t,/ Address : /S/ i/, / 4 Phone #: City:f, Value of Fence ,o38// * Contract or / I ns tal I er : Address: P.a B*/ 36 Fence Fermit is $5.00 State:n l<'.Z1 p | ?7 t7/7 Li | ?1121_ Phone #:7u6 'A1tr' City:State:p Construction Contractors Reg istrat'ion #: ?/44 Expires:fz- By s'ign'ing this permit/appl'ication, I agree to call for an inspection once my fence has been constructed (726-3769). I also state that all information on th'is application/permit js correct and that I was provided with the Springfield Development Code requ'irements for fence standards. 4*>lo" gna re Dalr FOR OFFICE USE Date of Appl cat'ion :Job #: Receipt #:d Bv: Total Amount Collected: ) (- Checked for Del inquenc'ies: Issu Checked for Historical Status: