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HomeMy WebLinkAboutPermit Fence 1994-1-24 .' , FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Locatio~: d'1/, \u 9.,^"L' \ ~Ij n'OO~./ Assessors Map #: /f)0384-\ ) Tax Lot #: ()~~.m Owner: C'r\f\T~~f'(:k\ 1 iofJhJrQJ\) Address. c944 (J,.~ . 1- Phone #:~ ')LApn~) City:~nJf\~o~~ State: (J)JQwn Zip: C{f14:f11l Value of Fence(~:1~.()l) Fence Permit is $5.00 - ~ Contractor/Installer: (QA_L)n~~ Address: Phone #: Ci ty: State: ,Zip: Construction Contractors Registration #: Expires: By signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Development code requirement for fence standards. I . <V _ f\ ~M'p ~:f~ f>ilnature inspection once my all information on with the Springfield \I UUtL. A c( Date c. ! qqc/ FOR OFFICE USE Date of Application: !-c!14..-Q4 Receipt # \\t\4';S .. Issued Total Amount Collected: ~_~ ~OB #:.. . C40oU] By' ..!)f)) <:..--"~. - Checked for Delinquencies: Checked for Historical Status: