HomeMy WebLinkAboutPermit Fence 1993-8-16
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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: J tJ d& ~Rt9 /(/AI/C' .~4-/fJ0
Assessors Map #: Tax Lot #:
Owner: /}fo.. 21171#1 c~d/I .
Address: ,2 0 .')b K/JA/IV/'€ .LA-ve Phone #:
City: c5'O.tJ/4L.a";::;~// State: f0Jee.o/J~ Zip:
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Value of Fence: C-~~ Fence Permit is $5.00
Con trac tor /Ins taller: Ac.m/.A//.d~ ~~
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Address: ji/tf!Pff '7 I 1
City : ?n~-d::? t:L?t :I- . /~ ~
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Phone #:
744/ - GJ 3'~g-"
State:
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Zip:
Construction Contractors Registration #:
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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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Date
FOR OFFICE USE
Date of Application: B . \r') .S-~ \ rO~ i: C1'3 \FlRlL<2
Receipt i qC{fJS ~ cJ, - Issued By: 'm\,fJ~
Total Amount Collected: ~
Checked for Delinquencies:
Checked for Historical Status: