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HomeMy WebLinkAboutPermit Fence 1996-8-1 (2) , \ \- .1 \ ' FENCE PERMIT APPLICATION' CITY OF SPRINGFIELD BUILDING SAFETY,DIVISION , 225 North Fifth S~reet Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 ,Job Location: .tj9& ( /tJ.e..><rm/A Assessors Map #: l %' b;(O Lj 2. ::< 0 3;) ni ') Owner: ~/(/t.ef1RM,() ~5 Address: & >0 ~/#'f/~ c/ Tax Lot #: ____ Phone #: ?tf L/ -J L& "l Zip: '9' >'72.& City: De4-..5w~c State: (Y;(2. Value of Fence: /.5()9.cXJ Fence Permit is $5,00 Contractor/Installer: .6vr.e-~ IJ,.~ <. - - , '. City: /,,F?~</A/t:U State: cP.1t2 Phone #: ?o/tf -.1'26 ) zip; 9)~'L0 Address: 10 '/0 PI",,. e-r Construction Contractors Registration #: Expires: By signing this permit/applicition, I agree to c~ll 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 Signature ? It /f'f.7 -, Date FOR OFFICE USE Date of Application: X- ...-1 ~ '9 /'~ Receipt U 227( tt Issued By: Jon ll: q (0 Ofo&2 C.. ~ .} .,,- Total Amount Collected: C:;, VU C!lecked for Delinquencies: 't~hecked for Historical Status: ~