HomeMy WebLinkAboutPermit Fence 1993-2-18
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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
Job Location: IJCI f51 6IAAe.be.~
1102..3533
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Address: --ZOO (!;"P5t/V1l)'Y'vC-l:yy
.Ci ty: XLn Lw.~ () b,sm State: (!.ll
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Value of Fence Ie; 300
Assessors Map #:
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Tax Lot #:
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Owner:
Phone #:
Zip: Q34o/
Fence Permit is $5.00
Contractor/Installer: /1.l...h. t-Jt1JjemtuJ1 {Of/l~t .
Address: t.117 tJO~ 12-IL-vL Phone #: '7tf 7 7 J3.Cj
City, 5fH'Nj#;~~ .
Construction Contractors Registration
State:
of:.-
#: '1/7 g J
Zip:
. Expi,res : ~/;zo /1 L/
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
Development code requirements for fence standards.
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Signa ture (/.
~b8/13
Date
FOR OFFICE USE
Date of Application:
:2 ~~.5
Receipt # ?5bb
Issued By:
JOB #: 9':;> /4/9' /
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Total Amount Collected:
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6,.'-> ~
Checked for Delinquencies:
Checked for Historical Status: