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HomeMy WebLinkAboutPermit Fence 1993-3-11 . . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 City: \1 O':>.~/~l ('~J t ~Pt:r I vv,;Pi.v - , \ -:l..,c.,")v p fiioac. 1) ~ "'\ II <J ~', ""'d~~ J.J Tax Lot #: oy,o rJ * Job Location: ~:;).ID yy\ {', ..-v-J St. Assessors Map #: Owner: State: (JQ. Phone #: /Lft..9L1L19 Zip: 0 J'-IJI Address: Value of Fence:~ €o()ocJ Fence Permit is $5.00 Contractor/Installer: n\A~/ 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 stated that all information on this application/permit is correct and that I was provided with the Springfield ;:~~~;:t~;;.:" [,." n,.'''''' ,.~" , \ 4 ~ FOR OFFICE USE Date of Application: ~/1\lcP) Receipt # C' J J( ~ (", Issued By: JOB 11: Cj 'A,O~Oi., 0A Total Amount Collected: k..,OO Checked for Delinquencies: ..,..,.-- Checked for Historical Status: ~