HomeMy WebLinkAboutPermit Fence 1994-3-24
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FENCE PERMIT:APPLICATION
CITY OF SPRINGFIELD
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BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors Map #: j? "tt>z, .. '7 ...~- ;i:3
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Value of Fence: ;I~~
Job Location:
Tax Lot #: <!Jt,.t'6tt$/
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Owner:
Address:
Phone
#: "7~~-5'9~/
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Zip: ~7~
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City:
State:
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Fence Permit is $5.00
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Contractor/Installer: ,~L-;9~7Jf .r~~~ ~..
Address:~~<:) ,!:t.;.,Ju'\Qe> Jru r, ~Phone #: 49fl-~4{Rf3
City: 6)Gf_~ (j State:\/DJ,,~~ Zip: qlf4r'l~
construction\4;ontractors Registration #: : CfOlo'{);, Expires: 4< 2-12. 'Cfl/
By signing this permit/application, I agrJe 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 tfr-
1- 2 'T-~ 9' c,L'
Date
FOR OFFICE USE
Date of Application: ?---2 '1..c:;;t;
Receipt # /<bs-g
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Total Amount Collected: /~~
JOB #: ~Y~'S'57/
Issued By: ~~
Checked for Delinquencies:
Checked for Historical Status: