HomeMy WebLinkAboutPermit Fence 1993-6-18
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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
Jo'b Location: b79Y , frLC/~'Z:J'C=-?c....
Assessors Map #:'/7"1172 ~~~3 Tax Lot #: ~]I~ y
Owner: /:(l/#'E v~#/ t:- P-~.A7/~~.A?' /.k.;~/3'
Address:~L S/o?-:2 7b/A(7f/~/~ Phone #:
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City: V~~/~ State: ~'"5 Zip: .:::77?8-:?
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Value of Fence: /5 ~. ~
Fence Permit is $5.00
cont~actor/Installer: . ~7?~r--r~~F. ~_
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. Address: /?~5he;-u)(/e ?A'" C~, Phone
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City: --fS~F' ~;~:;c State: q~?,
Construction Contractors Registration #:~~~7'
#: -:::? 7"9' - YB~~
Zip: ~?y~_.
Expires: ~-~~
By signing this'permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this app~icatiQn/permit is correct and that I was provided
Develop~~nt code requirements for fence standards.
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Signature
inspection once my
all information on
with the Springfield
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Date
FOR OFFICE USE
Date of Application: 6-/B73. s
Receipt # q ~...., Issued By:
Total Amount Collected:
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JOB #: q?~
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Checked for Delinquencies:
Checked for Historical Sta~Qs: