HomeMy WebLinkAboutPermit Fence 1993-10-19
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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: a:?o 35 15~ ~~
Assessors Map #:
Tax Lot #:
Owner: ~"~J::(d~-.7::tur
Address: d)o 35 ~,..,-", "t"~'o ~~
Citv:~~~ ~. 0 n
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Value of Fence: ~ I~, "/
State:
t2..--.
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Phone #: 7'/7- 55'-3 if
Zip: t17'17?
Fence Permit is $5.00
contractor/Installer:~___
Address: :P 0 ~,..gt.
City:S~i.'"V
Construction Contractors
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State: ~-',..
Registration #: '111~"
Phone #: 79'6 - 8 '32t/
Zip: t}7tf11
Expires:~. '1t/
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' ,
ID 11'1/ f./
Date'
FOR OFFICE USE
Date of Application: \0. F'ct..::) . r,)>OB It: Ct=wty\t)
Receipt ff t O[p \ 'I ci) Issued By{"l\ll'li....J
To tal Amoun t, Collec ted: ~.
Checked for Delinquencies:
Checked for Historical Status: