HomeMy WebLinkAboutPermit Fence 1991-8-12
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth St,reet
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: SCI.\o c:::..J\-"~_AO~ oe
Assessors Map #: /802 QL 2..2
Tax Lot #: G0/g-<:97J
Owner: \~ \\"1.4 M\IJf~'A
Address: ~~ L5\~,-A.O~ D~. Phone #: 'T-\ ~ - ~ Y'7::f .
City: ~PfL\\"">l~\~,-O State: Or<- _Z i p: CJ-::r-'\-=M
Value of Fence: \ ~_ ~u Fence Permit is $5.00
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City: "')f' '4\ He-\"'=- \ 17' ,--0.
State: r'YL
Phone #: '=T-L-\~-~3G'-l
Zip: C1"7- 'F=J-:t-,
Expires: 12 hI )cq
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Construction Contractors Registration #: '-\l \ 10 ~
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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Date
FOR OFFICE USE
Date of Appl ication: ~ !Iz./q/
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Receipt #: 2CJ7''i4 Issued By:
Job #: q//n 24'2-
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Total Amount Collected:
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Checked for Delinquencies:
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Checked for Historical Status:
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