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HomeMy WebLinkAboutPermit Fence 6-3-29 -~~ '-f ;.... SPRINGFIELD FENCE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: 5QQO ~rr\nq-he\d, oe qlY'l8 Tax Lot #: ~ yc:>/ h ~-r, Assessors Map #: /')-02. - '37"'-~L OwnelT: lr}.\I\r\ e h(1+-hl~ 1-\0.,\ \ ~ Address: SqqO r..., ~+ ' City: 6-0\,~\;pl('l Phone #:'(Qb- LlO; b Zip: Q7Lti'8 State: cJR Value of Fence: /~~.~~ Fence Permit is $5,00 contractor/Installer:~~~ Address: '. .. Phope,#: City: State: Zip: 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. . t --v-o,~"- ~ \'() .Cf\()J\jLAJJ Signature ~ - 8J;2Cf Jq G Date' , FOR OFFICE USE Date of Application: ~....-:2 ~..~ Receipt # ~c>~q l( Issued By: JOB#:_9b~~ /Z~ - //v Total Amount Collected: -5:' t::>C/ Checked for Delinquencies: Checked for Historical Status: .~/d: ~ ~ ~/~~ Y 'r" / t;'/ .;.'\. j ,; ) ; '- i /_ I : //7' '~ ~ .~ ~, \3- ~!