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HomeMy WebLinkAboutPermit Fence 1992-03-18CITY OF SPP"VGFIELD, OREGO'V 225 North Fifth Street Springfield, Oregon 97477 PENCE PBRUIT APPLICATION CITY OP SPRINGFIELD BUII,DING SAT'IITY DIVISIOI{ SPF!NGFIELD 0ffi ce : INSPECTION LINE: 726-3759 726-37 69 Job Location: /// I t 44/1 Assessors Map lt:' otl' c{')Tax Lot *:2-* )-> ovner , 1Q, ffc/C H.n + E;* s. frerc.- Arldre-ss : /// / S. 4*+ t^ CFara.oP. * 4oo, oo Fence Permit is $5.00 ?,zlt dhclctou- Phone f: 7+l-O5?L- Zip:q? 47tC{ trr.$acioo(reldrT Value of Fence: Con t rac t or / Ins taI ler : Address: Sar,a__Phone S: Ci ty:State:Zipz Construction Contractors Registration fi: Expires: By signing this permit/application, I agree to call for an inspection once my fence has been constructed (7?-6-?769). I also stated that al} information on this application/permit is correct and that I vas provided with the Springfield Devel-opment c.ode req'.iirernents f ir f rnce sten.larCs. ?-tE-*2* S gnature Date FOR OFFICE UST] Date of Application: 3'Z "l , Ot|-JOB *: Receipt #lAut Issued By:-S,s , o,,--I-T---I--- Total Amount Collected: Checkecl for Delinquenci esz t'Checked for His torical Sta tu.s: --- u,^-a