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HomeMy WebLinkAboutPermit Fence 1990-10-17 (2) '. .~ 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: qofoD Y(A(Su ::t:J:~ I - \J Assessors Map #: Owner:' ~rs. \JJI tin ~j ..:JY.. Address:.?6:>~() 1)/1~"" j ,<r- ::U=X! CitY:~Jfu (rf State: Val ue of Fence: 470 - Cr), Tax Lot #: Phone #:~ -~ 757 {)f2- Zip:j7L{1J: Fence Permit is $5.00 Contractor/Installer~ 1:'';)1 f:_. I _ I ;l-J.l'll~ QlJ)VlP.lY 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. . '~.YA ~ ~~~ Signature ( / ... /6 -/7-CZo Uate . FOR OFF ICE USE Issued Job #: BY:~ 9 () l 2-103 Date of Application: Receipt #: 1~5,~q tD - it -&:JD - . Total Amount Collected: LJ.oD / Checked for Historical Status: /" thecked for Delinquencies: