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HomeMy WebLinkAboutPermit Fence 1993-10-08225 North Fifth Street Springfield, Oregon 97477 FENCE PERHIT APPTICATION CITY OF SPRINGFIETD BUILDING SAFETY DIVISION SP,:lINGFIELD 0ffice: INSPECTION LINE: 726-3759 726-3769 OBEGO'UC'TY OF Job Location::'/A S //. / ?.t4. s*.t Assessors Map *: Ovner t /4.+. 1 3?a l-/."''"t *.*- Tax Lot *: D o jlq Address, -?'/25 .d7/. /?,4 ,f Phone *: city: &.^* J;rr/State, A^o zip:q7/7/ tY Value of Fence: 25,, '/Fence Permit is $5.00 Con t rac tor/Ins taller :O,b Address, Po 6*2€ 34 Phone *:vyq- gszl Cityz Sa-r.^.,/--k-/S tate:zip: ?7V77, r - r-T-- Construction Contractors Registration *:f// (-("Exp ires: \r-- qq By signing this permit/appJ.ication, I agree to call 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 code requirements for fence standards. /" l3 1o,: S gnature Date FOR OFFICE USE Date of Application:II OLT Qs Receipt */ D Sstl { JOB + Issued By: Total Amount Collected: ' Checked for Delinquencies:-/ Checked for Historical Status , --------------=-----------=--