HomeMy WebLinkAboutPermit Fence 1995-3-30
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: /QS7 SoUTI-I A Sr #3
Assessors Map #: / '1 t9.~ ,=\ 4- 4. 2-
Owner: (};R/S &.Je;s18tJSb,..J
Address: 55 ;::el)5?.'}L. L.4\V
City: Et/GaVI!- State: OR-
Value of Fence: ~
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Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lot #:
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Phone #:. tr,89-~
Zip: 9740L/
Fence Permit is $5.00
Contractor/Installer:
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Address:
City:
State:
Construction Contractors Registration #:
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Phone #:
Zip:
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
Development code requirements for fence standards.
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Signature
FOR OFFICE USE
Date of Application: ~Ar/5'S-
I 7:
Receipt # / t? iJo 7 Issued By:
Total Amount Collected: ~~
Checked for DelinquencIes: ------
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Date
JOB I: C)2/?~/n
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Checked for Historical Status: