HomeMy WebLinkAboutPermit Fence 1996-3-8
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FENCE PERMIT APPLICATION
CIi~ OF SPRINGFIELq
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors . . \'1 ()0~~l\4 . Tax Lot #:
Owner: . ~ ~>1<-a.
Address:{l, l\ l..iJ(\O {\~ f\f\\a.L' phone
City: ~d State: ffi
Value of Fence:~ ~ Fence Permi t is $5.00
Job Location:
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Zip: 4l4'J
Con trac tor/Ins talle~.
Address: ~<E\.o~ ' ;.
City: Ylrf)9M-
Construction con~~tors Registration
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hon~ it: ~\.G\\-r,;
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#: tD\~~ExPlres: ~ .Gq:/J
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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 info~mation on
this application/p~rmit is correct and that I ~as provided with the Springfield'
Development code requirements for fence standards. ~
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Date
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FOR OFI<'ICE USE
Total Amount Collected:
Date of Application: ~.R q( f?
Receipt 1I~J){i63{/ ~ -
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Checked for Delinquencies:
Issued
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Checked for Historical Status:
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