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HomeMy WebLinkAboutPermit Fence 1991-10-17 . . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: -q;< ,/c> /") L Y.fij;Z>/c 5r-. Assessors Map #: /7-.:P'2-ya.-~ Tax Lot #: c:>/9'2fS. Owner:~fi'7t!?ftA1-c-D ~tlJ7<~~..c 5 Address: 74""2"2 C;:/L-y./J?~/C PhoneD: -?Y:/-b2/.si5 City: '3)7>rL.]:) State: C:>7{. Zip: .q7'7?~ / Value of Fence: ~~~. c>~ Fence Permit is $5.00 Contractor/Installer: ~~~~~ ~ ~ . Address: Phone #: City: State: Zip: 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. #/~ Si9ffilture - . 1> IDht/ Date 7?/ . FOR OFFICE USE Date of Application: /~-/,=,_~/, Receipt #: "2. /6< Co Issued By: Total Amount Collected: ~ e:;>C> Job #: q/~99-=;- ~~~,----'> ~f I---~ ~ Checked for Delinquencies: Checked for Historical Status: