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HomeMy WebLinkAboutPermit Fence 1995-8-2 (2) -. . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Job Location: ~~~$ 2?~~.crJ Assessors Map II: /5E'.ttP::Z-c;::/tt::~ Owner: .~~ ~~~ Address: '? ~ y<ji/iJ' }2..L:.-'~""~ Ci ty: 7~Z;> State: Value of Fence:~"'~ " Contractor/Installer:~13/&j ~r,,/f:..~ Address: -&oX"" 4' /7-=?2.. City: C~e:~ State: Construction Contractors Registration #: Office: 726-3759 INSPECTION LINE: 726-3769 ~ Tax Lot 1I:~9~ ~. Phone II: ~. Zip: ~.?~ Fence Permit is $5.00 A-~~~.~~ Phone II: q~y"""3:;>/C:::> Zi p: "7' ';J ~ e:::> y- ~"':f . /t:76' 7/"9 Expires:~-/'~~~ By 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 on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. h /'-(?~ Signature ____ %1 ~_9'S- Date FOR OFFICE USE . Date of Application:~-~-9S- Receipt II /29' c::; .;;- Total Amount Collected: 5: .?t? Checked for Delinquencies: " Issued By: JOB I: 9'5'/2?Y /'2'-/~ t' //J .. Checked for Historical Status: