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HomeMy WebLinkAboutPermit Fence 1990-4-27 " . , . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location :/27 Scn 7rsE)l-f.YJn Assessors Map II: I f}()5c-O'7~Gl Owner: 13; l//I;uvdIJn Q--,'Y:tfl)dj , Hoje.., Address: 727 :S r r) -r.!-sh{ p nil! City: S,Or'5fl0!; f'{ J \....0' I V Va 1 ue of Fence: 1$ 360, OD Tax Lot #: (jQnnn Phone #: 71/ L/L/l/9 ' zip:.:IZ/77 State: (') fZ- Fence Permit is $5.00 ContractorlInstaller: tJw vv-e.v Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: By signing this permitlapplication, I agree to call for an inspection once my fence has been constructed (726-3769). I also state that all information on this applicationlpermit is correct and that I was provided with the Springfield Development Code requirements for fence standards. <. Sc'lMr~ t1n 0 !l _ Signature \J (j -d'1~ q 0 Uate . FOR OFFICE USE Receipt #: i(/lhb Issued By: ~ ~0D Job #: -(j,,, '-76~C\ff':Al6\ Date of Application: tJ -Z7 -'10 Total Amount Collected: Checked for Delinquencies: I Checked for Historical Status: ~