HomeMy WebLinkAboutPermit Fence 1993-12-15
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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: r;k>~,;;Lo-'~~,
Assessors Map #:
Owner: ./-..I..4-.,-..:4--'L- (iIDIA \'!-v/"~(}/1 n-L~
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Tax Lot #:
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Addre'ss: t:5} 0 C).o
City:S~~
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Value of Fence: U{/u
State:
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Phone #: 1 7 ~lo --' ~t?7Y
Zip: '11'111
Fence Permit is $5.00
Contractor/Installer: ~~ .:f~ e...o.
Address: ~ 0 f3.o-i .,g6 Phone #:
CitY:S~f-'./J}. State: ~__
Construction Contractors Registration #: SI//~ ~
Zip: 97y1?7
Expires: /z-/9~
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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FOR OFFICE USE
Issued By:
JOB #: 1~1 rZ~ {
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Date of Application:
Receipt # tll t.2C;
Total Amount Collected: 5 .()O
Checked for Delinquencies: V"
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Checked for Historical Status: ./