HomeMy WebLinkAboutPermit Fence 1995-4-3
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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: ~s/. /96~ C!-cvTC?y'
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Assessors Map #: /?"O~-2$"-'32
Owner: A y d e -..-, r://) In r2- / {
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Address: (Y!iG(i~.yTKV L"VYf€.
Tax Lo t #: / '::? .61:,....1; "-"
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Phone #: 7 tj ? - '5 gz /
City:
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of Fence:_ 0 7~
State:
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Zip:
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Value
Fence Permit is $5.00
Contractor/Installer:' ..A7/Z-/0//~' ~
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Address: ? 0" ?3 cJ-:1C 71' 7 '
City: PI3Af~~~
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Construction Contractors Registration :it: rC/ii'7t:,;ztt~pires:
State:
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Phone :it: -----.h ytf" ....~d lL
Zip: 9' 7 ~S- s:-'
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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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SIgna ture ' '. , .
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Date
FOR OFFICE USE
Date of Application: yo, 7~9.s-
Receipt:it /bS"7'?
Issued By:
JOB #,:' 9S~ Y:?a
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Checked for Delinquencies:
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Total Amount Collected:
Checked for Historical Status: