HomeMy WebLinkAboutPermit Fence 1993-8-20
SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job ~ocation: \c\CQl[ ~\\~Ol~dnO #
Assessors Map #: . $I . Tax Lot #:
owner",\ iD ~ ~()I\\\l\ > '~,f-l;
Address: \q~1 ,~~)\\\\iJJ, ~Pbone #: 1104r1:!/0
Clty:--5; oJl/j) State: I Qu~ZIP: QI}1-')/}
~.~ Fence Permit is $5.00
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Address:,"->> .\~ \~JO~(), Phone #: ~4b~ffl1'
CitY:~J\ If\[)..k\n1cf) State: IOlliAqnzlP: C'i~1 .
Construction contract~~egistration #: 4\ \ ~ (L(J EXPires:Jl'j .3 rCft
Value of Fence:
By signing this permit/application,r 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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. (sfn~ ture
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Date
FOR OFFICE USE
Checked for Delinquencies:
iAJOB At: q <:3 I"~:~ ')
(11(1 )
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St<l tus':,
Date of Application: g.(JO .q~,,",
Receipt # dl!l!J'O )IOPcx) Issued By:
Total Amount Collected: '/ (). 00 (S.