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HomeMy WebLinkAboutPermit Fence 1993-6-24 ,_:. . , SPRINGFIELD FENCE PERKIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-~ 726-3769 I' ! Job Location: I OJ [06 rn(! [)r;-ntd d (ij-; Assessors Map #:/1 () ~ :; f 13 Owner: (l fIo.xID.H-f -' ~ J' r2.6VJ ne- Address: {qUo mt~tUd ~j-, ~d. v Aito Jttt J" /l {) 0, l!iJ- Value of Fence: ~ ~ ~ Fence Permit is $5.00 Tax Lot #: Ox ()OO Phone #: ,'-ILl <)-u 1'3 Zip: C) 7tJ7 7 City: State: (JIG- Contractor/Installer: ffiA)rij//.."" , Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: I 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. .. . ~~'-I&C:~LXZP sTgna ture ) b -02 L/-93 Date .,.. FOR OFFICE USE '\ q.,J\l vJ Date of Application: 10' /4' tz3 0J?"J Issued By: JOB #: QbozlD /ijil/JJM;.J . Receipt # Total Amount Collected: ~ ~ Checked for Delinquencies: ~ "'-. Checked for Historicill Stiltl1~ ,',