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HomeMy WebLinkAboutPermit Fence 1990-1-24 . 'SPRtI'ELD ", FENCE PERMIT APPLICATION CITY OF SPRINGFIELO BUILOING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: Northwest corner of 23rd & Main IJQLf) ~ Assessors Map #: 17033642 Tax Lot #: ?qnn Owner: Address: 23rd & Main Phone #: .,m 1< 5orinafie1d Church of Christ City: SnrinafielrJ State: OR Zip: Value of Fence:, $800.00 Fence Permit is $5.00 Contractor/Installer: Owners. 5orinafie1d Church of Christ Address: 412 N. 12th Phone #: '726':'9797 City: 5prinqfie1d State: OR Zip: 97477 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. ~fq~ ~~, ~ Sigriature' " / Uate FOR OFFICE USE Checked for Delinquencies: ,1- f:J4 .QO Q ~ob #: qOJIQ() Issued By: ~lf'(A / n.CO J' Checked for Historical Status: ~ Date of Application: , Receipt #: \~9; ~O( Total Amount Collected: