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HomeMy WebLinkAboutPermit Fence 1996-05-28._f 4 SP'TINGFIELE) % rBNCB PERHIT APPLICATION CITY OF SPRINGFIBLD BUITJING SATTETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 0f f ice: INSPECTION LINE: 726-3759 726-3769 OFEGO'UC'TY OF Job Location: Assessors Map #: Ovner: Address: city: 1,' -lt -A la Tax Lot #: Phone #: State olt Fence Permit is $5.00 zi p:qtvz{- y',_ Value of Fence:5 000,o2 u (Con t rac tor/ Ins taIler : Address:3o L* t Phone *: Ci ty:S tate:Zip:.T 7q77 Constructlon Contractors Registration #:lres: Ily signing tlris permit/application, I agree to call for an inspectlon once my fence has been constructed (726-3769). I also stated that a1I information on this application/permit is correct and that I vas provided vith the Springfield Development code requirements for fence standards. FOR OFFICE USE Date of Application:JOB *: Receipt lt Issued By: c 5.ooTotal Amount Co}leeted: Checlccd for Delinquencies: Checked for llistorical Stattts: 6// "V)/last df q/- Date'' / / |