HomeMy WebLinkAboutPermit Fence 1994-8-3
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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 Location:
c.L) 7 I
(fi:SCt1~ G(AI? 11"1 CPPti;:Li)
33 Tax Lot #: 02<100
OL 30
Owner: [7/. !.rcn..R--- LGcLl/; H-
Address:. <), I. ~ ~
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City: 0' f Jl2".iJJ(Pn BD
Assessors Map #:~
Phone #:
State:
()12-
Zip:
q7476
Value of Fence:
Fence Permit is $5.00
Contractor/Installer: ~cl)) ~
Address: ;? O. 8tJ )( ?Cj I
City: G / M cAe;..,
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Phone #:
State:
oe
.Zip:
'!Lf~ 97LfJ7
.9~~-~4
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Construction Contractors Registration #:-.O(J &") /~O Expires:
ny signing this ~ermit/application, I agree to ~all for an inspectiori 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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Signa fure
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FOR OFFICE USE
Date of Applicatio~ ciJk~~
Receipt # (JILt If X
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Total Amount COllected:,1t, ~OO
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Checked for Delinquencies: ~
Jq9~ JOB #: Cf3/7/?
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Issued B~jjlA.A/ ~,
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Checked for Historical Status:
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