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HomeMy WebLinkAboutPermit Fence 1991-10-3 (2) ~ .- ,.~"- ....,.. - SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Owner: 500" foY'5~ Map II: \ ~CACD J)'dIt\ ~ Tax Lot II: C)Rqm Job Location: Assessors City: ~y4:t~ State: Phone II: . rJ 2-ffl- g 11 t..(- Zip: Q1tV1[f Address: Value of Fence: '" &O() Fence Permit is $5.00 Contractor/Installer: 0\J.JV\0'!' Address: Phone II: City: State: Zip: Construction Contractors Registration II: 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. J) <?-,<) CL b~. Signature !0~3.~ q I Uate . FOR OFFICE USE Date of Application: (0-,;,-011 Job II: Cl/'.(v"2- Receipt II: 2-/4q 0 Issued By: SQ2 "Jp/Ol"-'- Total Amount Collected: Checked for Delinquencies: f)// Checked for Historical Status:~