HomeMy WebLinkAboutPermit Fence 1991-3-22
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
'225 Fifth Stfeet
Springfield, Oregon 97477
Offi~e: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map #: J7-<::)-"3-:2S--~--::?... Tax Lot #: /6:::?C>O
Owner: ~#~/~ a/yrc~ ~-;;'m-~ ~ ~Gsc::...'o~~~~)
Address: 5~E' Phone #: 7'16-~S-:::> Y'
City: C;;PrLP_ State: ~. Zip:q?c;/.??
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Value of Fence: /Oc:>c? 00
Fence Permit is $5.00
Contractor/Installer:
t()WA7~A.S'
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:.
By signing this permit/application, I agree to call for an irispection once my
fence has been constructed (726-3769). I also state that all information on
t~is application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards. '
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Signature I
3- 22Ji\
Date
FOR OFFICE USE
Date of Application: J'-<:?-9/
Recei pt #: J9ts~..5 'I I ssued By:
Total Amount Collected: ',.7=- ~
Job #: C}/ ~2,.-.S-3
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Checked for Delinquencies:
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, Checked for Historical Status: