HomeMy WebLinkAboutPermit Fence 1994-8-29
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Locatio~: ~'1<&t ,.~ _ Clun t
Assessors Map #: ,\'1(, ~.;:A4 4 Tax Lot #: OO?:f:f,-
Owner: 0h.ww-(l (,\{\m tl L .
Address:U~'~ \~~ . ~~*' Phone #: C\4 rt:~Se1
CitY:~tl~ state:U)A tbf~ Zip: C\f'r\1J8
Value of Fence: ~JrrD~ Fence Permit is $5.00
Contractor/Installer: l ~.Q ,f..)
Address:
Phone #:
City:
State:
Zip:
Construction Co~tractors Registration #:
,Expires:
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~y signing this permit/application, I agree to call for an inspectiori 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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~natu~~
Date
(;;)9- 9,-/
FOR OFFICE USE
Date of Application: , A .jn . nA
Receipt # \~ . ~ II
Total Amount COl~ected: J:5. ci)
Checked for Delinquen~ies:
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I ~?()tLJB #: C\4 \3\::)
By: Y1
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Issued
Checked for Historic~l Status: