HomeMy WebLinkAboutPermit Fence 1995-11-28
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SPftlNCFllZ.LD
l'ImCE l'ElltlI'l' Al'l'LICA'l'ION
CITY 01' Sl'llINGl'ml.O
llUILDJNG"SAPl'.'l'Y DIVISION
225 North Fifth.Street
Springfield, Oregon 97477
Office:
INSl'ECTION LINE:
726-3759
726-3769
Assessors Hap III
O\lner: ,~~",-t
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9~il.1"-'''' ~b~l>C;:
Tax Lot II: ("'S't:> ('.
Job Location:
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.AdcJress: 2."... I ~'t. '- t.J., '-'- D.:...
Phone' II: 7<1 ~. <fiB 7 7
City:
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S ta te: (01"t-
Zi p: 'f 7<.J.C;''J
Value of Fence: ,. 5. sZ,c>
Fence Permit is $5.00
Contractor/Installer: -g'(..L\<-',,- i2.. .,L ~c..'L '.
Cl:> '.
Address: Phone ll: 1<f4- - I "!:t\"o;;:'"
City: State: Zip: ,
PF)~~ ,
Construction Contractors Registration II: Expires:
lly 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 thilt I \las provided \lith the Spdn{;f1cld
Development code requirements for fence ~tandard~.
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Signa tUL'C
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Dnte
FOR OFFICE USE
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Date of
Application: _
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Recclpt II
Total Amount Collected:
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Issued By:
Checked for Delinqup.nr.l p.s:
Checl(ed for