HomeMy WebLinkAboutPermit Fence 1993-8-17
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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 Location:.
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,Assessors Map #:
Owner: ~~d~> e' ~/d. !-(J..~/~
Address: t?(t!?i/ .?~~ ~
City: ~_A.vrz..d~ State:
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Value of Fence: ~* ? S'"'
Tax Lo t ~t:
Phone
#: 7fL/~ ,%O.s-/
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Zip:
Fence Permit is $5.00
Contractor/lnsta.i,ler: ~J~
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Address: t:itr ~ 7//
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Phone
#: 7~9"-d 3::2.- g-/
State:
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Zip:
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Construction Contractors Registration #:
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/
Date
FOR OFFICE USE
Date of Application, f?Jj (- q") . ~J B #: , C\3\Q~'1
Receipt # cqr; ~ ,Issued By: / f\ ~
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Total Amount Collected: ~,.
Checked for Deli~qupndE's:
Checked for Historic;:!J Stt'lt\1S: