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HomeMy WebLinkAboutPermit Fence 1991-09-05CITY OF SPFINGFIELD,OREGO'U FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION SP=RTNGFIELD 0ffi ce: INSPECTION LINE: 225 Fitth Street Springfield, Oregon 97 477 7 ?6-37 59 7 26-37 69 Job Locati on :It55 t{ lb'{ Assessors Map #, l1O3 ?S? Y rax Lot #:o t900 Owner:RoGu.rt Art,r,h"1,1"4a Address:-Sd,11r\e-Phone #: 'lq1- l413 City:State:Ar?-Li p : 1'7 4'7'7 Value of Fence: 250 6O Fence Permit is $5.00 Contractor/ I ns tal I er : Address:Phone #: C'ity : State:Zi p: Construction Contractors Registrat'ion #: Ex pires: By signing.this permit/appficatig!, I agree to call for an inspection once myfence has been constructed (7?6'3769). I also state that all'information on- this_appf ication/perm'it is correct and that I was provided w'ith the Springfield Development Code requirements for fence standards. q_5-qt gn ure Date OFFICE USE Cu3 ht4a Date of App'lication, 4- 5 - q I Job#: ffi qllo44 Receipt #:2-1704 Issued By:]bo (or,'r-- Total Amount Collectedt 5 /9 checked for Del inquenci es t/ checked for Historical status V