HomeMy WebLinkAboutPermit Fence 1997-6-17
SPRINGFIELD
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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: 2-ZLtl,p ~MIF Ln.
Assessors Map #: / 7 0 ~ J_S/ J.
Owner: rY\ \cJ1trEJ (lJ hYVvL~
Address: 2Z/..M.r; ~H-r- LY7
Ci ty: )0 k.t State: OiL
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Tax Lot #:
()~50Q
Phone #: ,U-~f
Zip: Ci,'-i,7
Value of Fence: Lo~
Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
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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Signature
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Date
Date of Application: f() / 11 /e; 7'
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Receipt # Dl(p2-/s
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To tal Amoun t Collec ted: SS. 00
Checked for Delinquencies: 1J~ ~.
Issued By:
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JOB #:~~
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FOR OFFICE USE
Checked for Historical Status:l1~