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HomeMy WebLinkAboutPermit Fence 1992-6-26 v . . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Spri.ngfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 IJ Job Location: I) tL{ <5 CO~s, C, \e~"\f'. C\e I (QQ~\-..\h~e \ C\ ~ Assessors Map lI: \~;{ 1~1 _Tax Lot lI:-f)6l;C( ) Owner: \Q:,~ s..C~ '\\ C Loc..\::.\....a.~\J,,,ryo...~~ '\ Addr~ss:lll~ S'C(::)~ C-:>\E' f\\\ ~ Phone lI~ Ylo":"\S3?_ City~g~\f\.)(....,y\\2. \ ~ State: ~ Zil': C\.l\flK ''- ... , -v '-'I ' U V'~lue of Fence' \ ^" 0 Fence Permit is $5.00 ,,_, "- , -' j\..2..!...!:--. ContractorlInstal,ler: ~ Address: Phone lI: City: State: Zip: Construction Contractors Registration lI: Expi.res: 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. ~~~. ...~ .~q7 ,s~~r~~~~ A~b ~;~ 0c~~ ~~ ~F~F;I USE Date of Application: te;hrf Z Receipt II ~j>,Ic? Issued By: JOB lI: q ;;'0138tp ~~ Total Amount Collected: 5'~ Checked for Delinquend es: ____-- Checked for Historical Status: