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HomeMy WebLinkAboutPermit Fence 1994-12-24 -- . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 2~ss ~......~ Map !I:Ji0J-5~) ~~ ~~ /77 ,..... ~ } .' 'U." . Phone II: "'NI-79i's Zip: Q7C(75 Assessors Owner: Address: .3':<SS \)~ -l........ v City:~ .-I;~ --.- J b :rP Value of Fence: 111ft:,. ~ State: f). - - .~ Q Fence Permit is $5.00 contractor/Installer:_~__ ~_ Address: 'Y. 0 B....v 3 b e..c . Phone II: Ci ty: _~r>n "':'oj'...J.I Construction Contractors State: O~_ (/ Registration !I:.ln ~ ~ Zip: 971/77 Expires: / Yq7 ny signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information 00 this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards.' .~ e..f' cN~ . .~ Signature / z.(2. 2-/4',/ Date I FOR OFFICE USE Receipt Issued By: cl~\c{5.c; Date of Total Amount Collected: Checked for Delinqupn~ies: Checked for Historic~l St~tus: