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HomeMy WebLinkAboutPermit Fence 1992-6-25 A7 . . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 377'~ - 5 Assessors Map #: JS02- od-:. II .,4/> <,,]A) a./ /77 n-: ~p ~, R ria/aM . M , Job Location: Tax Lot #: Z2...c-o Owner: , ,. City: 9n State: Phone #: 7~ - 295'0 ()Y( Zip: '3 7~79) Address: Value of Fence: ~26~ Fence Permit is $5.00 Address: 493 'J r"h7?/J'; City: ZZt.::: State: L/'E'. hr902.4-'- ~'J?/C6 / JI3C //';"'~?,-'r Phone #: h fB ';> - 41 .2 E5 '5"?~CJ 2- G"/g,/93 Zip: Contractor/Installer: r 1ht>??;P//J"A) r Construction Contractors Registration #: Expires: By signing this permi t/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. OQA~if (~.)(~~~O Signa ture "v ' A._ ,/\A.J12) ~_&~, \94\ FOR OFFICE USE Date of Application: &,/2Jj5' 2- Receipt # 527~ Issued By: JOB il: 92tJ g 77 ~~ , Total Amount Collected: ~_~ Checked for Delinquenci es: Checked for His tori cill Stil tus: