HomeMy WebLinkAboutPermit Fence 1993-10-19
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map #:
Owner :c;t'{{ e.,~ 7 /:?? ~z:;. t1 ""\
Address: ~/;}7 ~..;('~
Tax Lot #:
Phone #: ,~~ - 53~/ .
City: .s~
, 10-
Val ue of Fence: / 39dl ~
State: (17. '1'--' Zip: 0/ 7Y/7
Fence Permit is $5.00
Contractor/Installer: ~_ ~~ ~".....
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Address: 'P 0 6.-o,(3.t:, Phone #: 7'/6-85.:1.1
City: ~F-":- ..rf~ State: ~ Zip: 97'177
Construction Contractors Registration #: 'II/ bt, ~xpires: 'b~. &:J'!
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on
this application/permit is correct and that I was provided with the Springfield
Development Code requirement~ for fence standards.
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Signature
10/ I If. /qs
Date
, FOR OFFICE USE
Date of Application: \D .V=\.CP f\ Job#: G{3\b9t
Receipt D: "l uliJ \ ~ c::::I(Vd By: ff\rf)!)J ..
Total Amount Collected: ~. '
Checked for Delinquencies:
Checked for Historical Status: