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HomeMy WebLinkAboutPermit Fence 1990-3-12 -. .SPR.FIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: Cf)~~ \\\'\\ 1.1\ Am",,, i"\'" \ r) (Yd .0, ?,'O ~ Owner: ~~\C ~ ~ -\- \ \.\ 10 N~ ~ Address: ~? 4 t\\\\ t XV t,',,,,)hone#: -(~\Q ~)"l\ , City: ~r\ \ ') State:, \ ~..-J Zip: C\1A:\D Value of Fe~~:J \~~~C() Fence-pe'rmit is $5.00 ' Contractor/Installer: ~ ~ ~'\\O ~ Tax Lot #: ()UO()() Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also state that all information on this application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. .~ /-<7;;;;~ 3-/2~ 76 Uate , FOR OFF ICE USE Date of Application: . ,~. \ ~ .C\C) .ab#: ~CD2..YO' Receipt #: J CotS:). IS~m: C3JliX...-/ Total Amount Collected: 'fS .' Checked for Delinquencies: I , .,0" Checked for Historical Status: ~ ---=--, "