HomeMy WebLinkAboutPermit Fence 1992-9-25
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
.225 No~th Fifth St~eet
Sp~ingfield, O~egon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 2-ll--O N A- g---
Assesso~s Map #: 17'0 "7 :>Ltd '3
Owne~: w,/J'-l<-..,~ Y I- e.~'i/L
Add~ess: 2/"2-0 N"th. fA (. -sf.~
City: ~r;h.'t["elc1 State: CJf:.-
..f
Value of Fence: /b~,.v
Tax Lot #:
oc; 1 Dr)
Phone #: 7'11- {, '1/ L
Zip: 7'7'717
Fence Pe~mit is $5.00
Cont~acto~/Installe~:
m~
Add~ess:
Phone #:
City:
State:
Zip:
Const~uction Cont~acto~s Regist~ation #:
Expi~es:
By signing this pe~mit/application, I ag~ee to call fo~ an
fence has been const~ucted (726-3769). I also stated that
this application/pe~mit is co~rect and that I was p~ovided
Development code ~equi~ements fo~ fence standa~ds.
~~~T~
inspection once my
all info~mation on
with the Sp~ingfield
Signa.tu~e
~~-5~ ~?--
Date .
FOR OFFICE USE
Receipt #
h ~III
Issued By:
JOB 11:
~
qz.-( ~ll
Date of Application:
q -2-1;.-qZ--
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Total Amount Collected: J7~
Checked fo~ Delinqupnr.ies: /
Checked fo~ Historic~l St~ttls:
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