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HomeMy WebLinkAboutPermit Fence 1996-4-12 ,----- . . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: ~:JcJ ~//t:JL~S Assessors Map #: /7 r:2J' dd ~/ Owner: ,0~d/7./? ~fl Address:// T22S/s;;g, ~~} City: . &R- /' State: O/? / - #c--/ /~ Value of Fence: ~./'" _ Fence Permit is $5.00 Contractor/Installer: /~4j?/c ~C~ Tax Lot #:.L~ Phone , #: 7~;;W;f' ziP:f~77 " Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: By signing this permit/application, I agree t call for an inspection once my fence has been constructed (726-3769). a 0 stated that all information on this application/permit is corr ct ~/ I was provided with the Springfield Development code re~ standards. u;'"~~/ ~ ~~ ~ature y -~- jllrfe ./" FOR OFFICE USE Date of Application: 7/~~-~ JOB I: '9~~ Issued By: ./'? ~ ~~ Receipt # ?./ci!$7 5- a--.o:: Total Amount Collected: Checked for Delinquencies: Checked for Historical Status: