HomeMy WebLinkAboutPermit Fence 1993-9-17
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Spring.field, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
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Assessors Map #,:
Owner: ~ tUV\6 '~~llte./
Address: ;)--YB 3 ~n'J -G. L..--V\.
, Tax Lot #:
City: State:
Phone #: 7Lfl' [)()~
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Value of Fence: I, 2-n D
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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
FOR OFFICE USE
Receipt #
I D3/1
Issued By:
JOB #: Gf~(JLJ6 ~
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Date of Application:
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Checked for Delinquencies:
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Checked for Historical Statl~
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Total Amount Collected: