HomeMy WebLinkAboutPermit Fence 1991-3-29
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ;? Ie> /4./~:;>/ ~F&/c:b"'~~ ~ 2;?c Vb .
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Assessors Map #: 17-t?p.??- t./C/ Tax Lot #: tJ63c>O
Owner: ~~L 7"L F/??//:>c.-.--..
Address: I/btt: ~?'!J~#'L~~~ Phone #:
City: _~~#~"'c-=:/M State: C# - Zip:
Val ue of Fence: 5'~~_~.
Fence Permit is $5.00
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Contractor/Installer:
Address: -:2./tP W
City: 5flo.L-D
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C~:-#7CF~:..... -#c Phone #: 7~C~~;;:S
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Construction Contractori Regi~tr~tion #:
Expires:
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
oeve{Jlopment ~ode requ;r~ents fi) fence standards.
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Date
FOR OFFICE USE
Checked for Delinquencies:
Issued By:
T)'. CTl?
~Checked for Historical Status:
Job #: q /0-;;:"'77
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Date of Application:
7'-< '~-&:?/
Receipt #: /?f~C5b
Total Amount Collected: