HomeMy WebLinkAboutPermit Fence 1992-3-20
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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: / J']} SOr,f 17-1 " A ~
Assessors Map #: /rz()33L/]~
Owner: .>'72?v~ 5#$ /71-f
Addre'ss: t./c6 AI/V( C/;LA/ L5~ v,c
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Tax Lot #: ()7fp({)
City:
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State:
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Phone #: 7 c.f (07lrO
Zip: q?Lf7l
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Value of Fence: COOL>
Fence Permit is $5.00
Contrac tor/Installer: .5"""'~P':: - YAf /""77..,.L
Address: y?; G r((. f()i( (L urw
City: ~?t:L:) State: a-C.
Phone #: '/1/ IO/gCJ
Zip: . q/'"}L{?)
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
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inspection once my
all information on
with the Springfield
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Signa rlIre
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Date .
FOR OFFICE USE
Date of
Application: ~1/o.02-
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JOB #:
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Receipt #
Issued By:
Checked for Delinqll"nd es:
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~-. Checked for Historic~l St~tll~
Total Amoun't Collected: