HomeMy WebLinkAboutPermit Fence 1996-9-16
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SPRINGFIELD """'.",'''' H
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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:
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Tax Lot #:
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Owner:
Address: /~7/ L/Jn4rJda,D 'D-r-1LJ~ Phone #:
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Ci ty: .s;pr)~';;' eJd State: L>~1Jn
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Zip: 774;/7Jt
Value of Fence: Sllc:J .lJ6
Fence Permit is $5.00
Contractor/Installer:
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Address:
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Phone #:
City:
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State:'
Zip:
Construction Contractors Registration :jj::
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Expires: -
ll~ signing this permit/application, I agree to call for an inspection once my
fence lIas been cons~ructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Developmen t code requi,remen ts for fence standards.
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Signat re ,
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Date
FOR OFFICE USE
Date of Application:, 1-1 (~ - 7&
Receipt # Od3 / 99
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Total Amount collectettt~5-.
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Issued By:/) - /Y)(;Jc'/'0Jd ()
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Checked for Delinque.nri e.s: ~
Checked for HistoJrical Status:
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