HomeMy WebLinkAboutPermit Fence 1990-9-12
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FENCE PERMIT APPLICATION
C1TY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 1(,7 /) ~~ A- 9-
Assessors Map II: ( 76"3 3& ~"L .
Owner: (',<A---F: e.-f'.II1-trAJe::,
Address: J 07D C""""A-+\'", A-
City: Sp0Vl~'.p I rI
Value of Fence:$ L/cJ07). C5Z)
Tax Lot II: OiL, GCY::J
Sf- Phone II: 77.b - /?<; / r
State: CS 12- zip:~97LLzl
Fence Permit is $5.00
Contractor/Installer: r.A/ol.~ f/..pp V1 t::-./',t1.C e.- 0;-. riA 1/l/l&,-p.1/'"
Address: ~7-::<) c:, IA); cJ-j Iltv\ M-e........ Phone 1I:2;..Jc:: I) ~()c:.
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City: r;(^~U\.t_ State: 0(2- ZiP:-!i.-.IL/fJ7-::.
Construction Contractors Registration 1I:_i_7.1.0i Expires: 7 ~2--3- '12-
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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 state 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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Signature
9-1;)-'90
Uate
. FOR OFFICE USE
Date of Application: 1-12----70 Job II: 9fJ// "7;X
Receipt II: /g7-74 Issued By: l1/t'l.-~ _
Total Amount Collected: ~,C?Z)
Checked for Delinquencies:
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Checked for Historical Status: v