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HomeMy WebLinkAboutPermit Fence 1993-6-9 8 r'~;~,':;;':'.'.,','~.~/~o ~, · - ',rnt D'.'"",~,O - ,;.:r';6;YYJ , t... (~~;"",':-_:;'-'/-V:::UU'U' '~~' SPRINGFIELD . " ~"'.,,,..,;<" ".,' . "', .,.:. - ..<..,.. 'i"'>,~""":"$""'.~' :'~I~l.~,,,~\;~.<,:c "-, . -, . .: '--,,- '" -', - ...-' .- .': -" " . '~ ". .' J ,. ~~ "'~ FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 1660 r ~~~ Assessors Map #: /J-c:>"'5-~:?/ , - ,Vcl~ #' /?L:::- L 5c::> ~ ,~ ~~.~ . ~?~Z'_ ~ Value of Fence: ,~~c:?... &:Z> /?1ar~G7f Job Location: Tax Lot #: Ocj/~G-' Owner: Address: Phone #: ?'7)-:;//71~ Zip: ~?y;;/ City: S ta te: ' C7,?i . Fence Permit is $5.00 Contractor/Installer: ..........-- " Address: Phone #: City: State: Zip: I 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 stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. v~ Signature /~ t1-- y- /-3 Da te ' FOR OFFICE USE Date of Application: ~~-~~ Receipt #~b/ Issued By: JOB #: . ~~C>~~ /~. Checked for Delinquencies: s~ t>V ~ Checked for Historical Status: -------. Total Amount Collected: