HomeMy WebLinkAboutPermit Fence 1996-2-29
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELQ
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: /3 d. / (.Y /) A.
Assessors Map 11: II ()5~ (, ~!':;...
owner:~.'. ~ yJ,,,~~~
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Address: I ~ / , J n A .
City:. Jf (t'-f'
Value of Fence: /(f!)i)..c;.o
Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lot 11: 7 h~O
.40:.:.~ Cd /L/;Lm.
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Phone 11:
State: ~ l
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Zip: ~ 7{/7 7
Contractor/Installer:
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Address: '?- ~ l) W-
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City:__f, /.{ It
Construction Contractors
State:
Registration 11:
Fence Permit is $5.00
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Phone 11: '7 l./ b ,if:J. ~ "?r
Zip: '17</"7'7
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Expires:
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
Deve pment code requirements for fenee standards.
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Date
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FOR OFFICE USE
Date of Applieatiorl-~ -q {fJ
Receipt 11 1rHlLfLJ f
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To tal Amoun t ColIee ted },1J'1 '0 - '/
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Check.ed for Delinquendes:
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Issued BY"?{ . II d.f7Ada/
Check.ed for Historical Stat6s:
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