HomeMy WebLinkAboutPermit Fence 1994-6-27
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 1'93;;< 8~ ~~_
Assessors Map #:
Owner: (j~ ~~
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Address: /93.2.. ~ ~ ~
City: S~~f"'~./f
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Val ue of Fence: /g 7 S. ":Y
Tax Lot #:
Phone #:
State: ~_ Zip: q1tf77
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Fence Permit is $5.00
ContractorlInstaller: ~ ::1~ t..z>.
Address: R 4J ~ Jh
City: ~. "rf~
Construction Contractors Registration #: lI//G'
State: ~
Phone#: ?I/i, -J? 52- f
,Zip: CJ7l/71
Expires:~ 94'
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
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Date I
, FOR OFF ICE USE
~Total Amount Collected:
Issued By:
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Job #:
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Date of Application:
,Receipt #: l ~tof~\ \
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Checked for Delinquencies:
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Checked for Historical Status: ~,.