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HomeMy WebLinkAboutPermit Fence 1990-2-27 . . . SPRINGFIELD -:. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: ~ 4\4 lJ(\j)~ 6\ Q n~, \Jlt I~e ~ Assessors Map #: \lo=?,')/\3 Tax Lot #: (')'14()O Owner:-/~~/~/~~ /~ c7q/c.; vRoA.'1t; ~ ~ City: C:,f), F 0 State: ()/<.p Address: Phone #: 7LJ./ - 3c:fY 3 Zip: tJ7(,1// Value of Fence: _ q 00. 00 Fence Permit is $5.00 Contractor/Installer: a~ ~~ c::J "11.d P City: _C:; P F JJ State: Phone #:7Lf7- CJ /00 f1 RiL Zip: CJ 7c;7 7 Address: 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 state that all information on this application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. d~~ / -?720v4, Signat~ ,-;;- ~ 7- 90 bate , FOR OFFICE USE Date of App 1 i cat i on: ;;t h, I Cj() Receipt #: ) to \ '::l.. I Issued By: Job #: Cj ()O--:J":I., L./ Q, ~I A f'.J! .&._^./ Total Amount Collected: s.oo Checked for Delinquencies: ~ Checked for Historical Status:~