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HomeMy WebLinkAboutPermit Fence 1989-12-29 .. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: Job Location: \'1C\ D \'\\C\ \ f\...; ~~ThnOr..J Assessor~ Map Ii: \ ') ()~~l (}?J \ Owner: KT\ l. ~ ("leU m D i?-) , Address: \'4-n\J f\ \?J ~ /rh Phone Ii: "A-1\r9~CS City",l''' ~'rn.+\,Ori\ st,t,~ (()~ O~f1 Value of Fence: \ ~,(X:::) Fence Permit is $5.00 Contractor/Installer: l l~ .l)(\Q R::) Tax Lot Ii: () \ ~CY) Zip: q 0A'If} Address: Phone Ii: City: State: Zip: Construction Contractors Registration Ii: 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 D~nt Cod equirements for fence standards. \ 3\(H I 11 1-\ 1;1 \ ~ signature-VI ua~e , FOR OFF ICE USE ,Date of Application: \A )jq.PA' (~JObli:_~\ e-/i >< Receipt Ii: L~I Dlo~ Issued By: ri\\ffi ), Total Amount Collected: D ~ - - - Checked for Del inquenci es: V Checked for Historical Status: V'