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HomeMy WebLinkAboutPermit Fence 1991-8-14 ~. .'-- SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELO BUILOING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: tb14 P(~+ Assessors Map #: \ \ (')~cQ I f7~ Tax Lot #: Cf'r4.n ~ Owner: . \~ ~ ko.:bl'Wy W L.'4 rnoy-El~ Phone #: iT 4- & - 4-2/ & Zip: Cf14-11 Address: SCJ../V'^.e... City: SfyJt:(.<l. ~ Value of Fence: f1:.. goo- State: O~ Fence Permit is $5.00 Contractor/Installer: sdt- Address: Phone #: City: State: Zip: Construction Contractors Registration D: 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. ~ Cl1e((7~ rltl/o.n -bun p tl-v,J 19nature 2-lt-q{ Uate . FOR OFF ICE USE Receipt #: 2.-100.3 Issued 00 5- V Job #: qJO QS"2- By : .:))0 I () \'<-<2.C- Date of Application: 2- \ 4- -q I Total Amount Collected: Checked for Delinquencies: Checked for Historical Status: v