HomeMy WebLinkAboutPermit Fence 1995-4-18
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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:
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Assessors Map #: /7/) 2.. ~ 2.. ~.f.
Owner: L 'j /,f.} 'i COfn'tt1'JL L-J~ ~ V-l L~.
Address: tff;? I J., (~ltfrt:J id 'A
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Tax Lo t #: tf) 2.. f!!ro-tJ
Phone #:
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Zip: '11tt 71")
State:
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Value of Fence: / 3~%:. ~
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Fence Permit is $5.00
;on:ractor/Installer:41~-M~?~ U a.c/~ _
Address: -(fl9 ~ ,7/ '7 Phone #: ~~~ -.5.;2//
City: p~~/-~/ State: d4~ r Zip: 977??5-
Construction Contractors Registration #: 7 U~L/-' y Expires: 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
Date of Application:
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Receipt # /~ ~r ~
Issued By:
JOB #: 9 'SOt:;Z9L
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Checked for Historical Status:
Total Amount Collected:
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Checked for Delinquencies:
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