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HomeMy WebLinkAboutPermit Fence 1993-3-22 r . . I~.' FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: /J93'0 ~A'""A="~;""/ ~~=~Y * , ~ ~ . Assessors Map 1I: /7"(;')"3"2..5'-"'92 Owner: C- A>#~ f /?~.-p~ Address: ~. - , -sP?Lz:>_ ,/ Tax Lot 1I: et:>.2I?Oc:> 2/#*// ?"':::A7 Phone 1I: ?V/-.2~~ Zip: '77~7 /' City: State: c/? Value of Fence: l/P~ -- Fence Permit is $5.00 Contractor/Installer: aAJ>~~5 Address: Phone 1I: City: State: Zip: construction Contractors Registration 1I: Expires: By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. Xh(Jy)dt-l~ ) 1 ~, /YH'"I Signature - ,,:s. :J.:::J - ct.~ Date FOR OFFICE USE Date of Application: 3-Z2.9~ Receipt 1I ?$?;;><;:;c Issued By: JOB It: q-;;>cJ37'3 /?~ .~- Total Amount Collected: 6"':"'''' ....------ Checked for Historical Status: ..--- Checked for Delinquenr.ies: