HomeMy WebLinkAboutPermit Fence 1997-6-2
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FENCE PERMIT APPLICATION
CrTY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: tI o'iJ '.J~.~. $,
Assessors Map #: ' 110 J.. ~ / L/ L/
Own e r: 1? 00/v\ A't 0 JlJ "(\I'>J ..LU...t\
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Tax Lo t #: 00 7/ LJ
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City: ~~.A.~~t1Q
Value of Fence: 70D, () ()
State:
Phone #: '7'-Li- 0 () <LJ:
~ . zip:379-JR
Address: .l\ ^~9-..
Fence Permit is $5.00
Contractor/Installer:
..
"
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this p~rmit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I als~ stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
Q~~Aofu [)~ J.~ '
Signature
(p-:J-97
Date
FOR OFFICE USE
Date of Applisation: (a II fq-;-
. .
Receipt # () ~0cIJJ
To tal Amoun t Collec ted: ,,<:{ S. 00
Checked for Delinquencies: ~
Issued By:
Jon #: Q'70KS 0
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Checked for Historical Status:f1~