HomeMy WebLinkAboutPermit Fence 1994-4-13
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map i:...L1~3'~>-/O Tax Lot #: aa~a-6
Owner: ~C- V~#~ ,)>:~/c~~./' ~. .
Address: ~~ ~ Phone i: 7Vr"O~
City: ?~z::> State: ~. Zip:
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Value of Fence: ~ ~
Fence Permit is $5.00
Contractor/Installer: ' ~~7'~S- .0--;;~ ~-s-- ~.
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Address: /.<?/ Phone #: ? ~lb'" .~9"2?
City: ~ p~?::> State: ~~ Zip: ~?Y'7:>_
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Construction Contractors Registration i: 6/~b 2..... Expires:./~~9Y
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
Dev~ent code requirements for fence standards.
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~Iature ~ Date /
FOR OFFICE USE
Date of Application: V~-?y
Receipt # I Z2~9
Total Amount Collected: ~~
JOB #: qv~SI"9?
Issued By: #~.
Checked for Delinquencies:
Checked for Historical Status: