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HomeMy WebLinkAboutPermit Fence 1996-4-12 -- :. . ~- " FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: C:::;%J ~//tJL/5 Assessors H~ #: /7cJ3,;Jd tl/ Owner: ,,)YC4'/?;1? /Jyp Address: -:T-2~. 7X!J/6(, ~W Phone #: y.?%j::?#4 fi ~ /. r.~ City: . ')P.t0 State:~/? Zip: ~/J?j7/ Value ~~ence: ~~~~ Fence Permit is $5.00 Contractor/Installer: /'v1e~f?;~ ~e Tax Lot #: /J~ Address: Ci ty: ~J4:/ k Phone #: State: (')/~ Zip: Construction Contractors Registration #: Expires: By signing this permit/application, I agree fence has been constructed (726-3769). this application/permit is correct n Development code requirement f to call for an inspection once my so tated that all information on was provided with the Springfield dards. '- ,r _~ Sig~e ~ ~~ D~ ./ FOR OFFICE USE Date of Application: t/ -/2-~ Total Amount Collected: 5:~ JOB I: "7h<:?S..::::J"/ Issued By: ~~_ Receipt # '2/~$6S- Checked for Delinquenci es: Checked for Historical Status: