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HomeMy WebLinkAboutPermit Fence 1997-4-30 . .' SPRINGFIELD " FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 No~th Fifth St~eet Springfield, O~egon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: tj 9/ (j J ()~ ~ t')~ Assessors Map #: I--::U;;~l t,ll;)() 17rfU..7'iiQot #:~~O 0 Owner: /1/ tL) ~/Y1 me/ell- , Address: '-/9/ W. {)LYfrllJlC- S.fJFD I ~^"o.:::.. Value of Fence: /(LICJ Phone #: 7~0, ~/9' 31 Zip: . 9V~~;7~ City: State: !)J2 Fence Pe~mit is $5.00 Cont~actor/Installe~: ~. Add Loess: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: By signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Development code requirements for fence standards. inspection once my all information on with the Springfield 11/~~~' Signature ~"30 r)9? Date FOR OFFICE USE , Date of Application: L/ /.~() It:! r Receipt # () 1 SSS 7- . Total Amount-Collected: L~ 5.0 () Checked for Delinquenc.ies:-11-~ Checked for Historical Status:-IlfJh1 _ Issued By: JOIl II: q 1 Oftfty~ -.j ( YrLU;, '-