HomeMy WebLinkAboutPermit Fence 1993-7-8
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
72'6-3759
726-3769
Job Location: ;)-1 q :) (boh n'} (. L/l J
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Assessors Map #:
Owner: (11MI ho IJ-. Hu vn 11
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Address: ;;,/0 s 6DYlYJ;I(.. L.n J
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Tax Lot #:
City:
State:
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Phone #: "7 L/ 7 ~ Lf 0 '-It!
Zip: q 7Lfl 7
Value of Fence: ~ I) WOO ~
Fence Permit is $5.00
Contractor/Installer:
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. Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By,signink 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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7/ <9/ <15
Date
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FOR OFFICE ,USE
Date of Application: 1 i ~ ' Cf:?
Receipt # CJLf;l-(')
Total Amount Collected: b'-
JOB i: L100q 0;)-
Issued By: ~
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Checked for'Delinqllp.ndes: ___----- Checked for Historical Sta tllS :._____/
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