HomeMy WebLinkAboutPermit Fence 1993-5-19
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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 Loca'tion:~'i,{ C~SCAt>r...
Assessors Map #: \fOdD8~~
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Tax Lot #:
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City:
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u~ Phone #: 7'11-) I.( ~6
State: ' tOR~60.v Zip: q74711
Address: _!!;4l{ 'CA~~ S"
Value of Fence:~OOO ~O~
Fence Permit is $5.00
Address: .':;'i '-/
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State: tPRl....G (!) JJ Zip: Cf.7C{ 7f),
Contractor/Installer: - \0AV\ t:>
Ci ty : $p'R ~,uCl. ~ t 1'" \..'l>
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Construction Contractors Registration #:-=:2377,/
Expires: 5 -I S -'1 \(.
By ,signing this permit/application, I ~gree 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 ~ ~
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Date
FOR OFFICE USE
Receipt #
Issued By:
JOB #: ~ '3 CJ ~ Cjr;.,
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Date of Application:
Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status: