HomeMy WebLinkAboutPermit Fence 1990-6-27
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ,~Ll7> /JJ, Ce~.pf)n\\(}l
Assessors Map If: 1'10 3d.-?<f<l
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Tax Lot #: CJ 5/0()
Owner:
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Address: nr)JfYle... Phone #:
City: State: Zip: Cj-::j--Lj,1-1-
Value of Fence: "91-00 Fence Permit is $5.00
Contractor/Installer:
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Address: ~/ t.f0'QQ (',~
City: · ~ State: . ()l:.-
Construction Contractors Registration 1f:-'rJ() rlLL./
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Phone#:
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Expires: t;~? - q I
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 ~rovided with the Springfield
Development Code requirements for fence standards.
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Signatulreu--
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Date' I
, FOR OFF ICE USE
Date of Application: ~/~7/9o
Receipt If: 17s/Y Issued By:
Total Amount Collected: ~ ~
Job' #: 9c?0l36 y
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Checked for Delinquencies:
c.---- Checked fO,r Historical Status: ~