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HomeMy WebLinkAboutPermit Fence 1990-1-26 . SPRI_'E~': FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 1~C::;;>/ r:?v-,'SI'cMtIJ- Assessors Map II: I1'D53 ':)L/ -,},2 S1=Ja."f~F/~ Tax Lot II: ()I{Q.()O Owner: +- 1?11"Y? "'1---<--, n-T1>'l7 -eV-rLt:Y"L Address: ~/ City: ~ Mci , <-A.--i~'S> Phone II: ~ eS-"?:J-u".. State: eJ62-- Zip: '1'7~O Value of Fence: r;; D () Fence Permit is $5.00 Contractor/Installer: ~Vfi'!3'2-4PC;Gt0 ~ Address: ESf"?> to. ~I r><l ~ Phone II: '~C;;--i?~..~',::;, City: t:5~ I e:"P- / State: Of2- ;)-./ Cj 0 1 Zip: ?)'7<f02..- Expires: J, ;)~-q 0 ~ - Construction Contractors Registration II: 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. '6~ CZ:J~ ~ Signature -, f / '2.d;;j '10 Uate , FOR OFF ICE USE Date of Application: J~ ~ -0 u , Receipt II: ~ Jf3Zf1 Issued By: ~--:: V Job II: C[(j 0/ .? 3_ .. ~ AN...L- ' Total Amount Collected: Checked for Delinquencies: / Checked for Historical Status: