HomeMy WebLinkAboutPermit Fence 1994-12-9
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Job' Location: ,~~~ ~~~/~4//V/~L-
Assessors Map #: / ?-rt:r3-:;z6.. $I ~
Tax Lot #: e!J~~
Owner: V(;l<F/// f'0#b//./ /.kY/5r (JeJAA/d/E-)
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Address: /9 7,~ S;~4/E LJeE~/ 2)~ Phone #: ....y%~-;;2,eJ;2)
City: B-Vc."~..-uG: State: /JZ Zip: Q7-1/o/
Value of Fence~~~1 .-
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Fence Permit is $5.00
Contractor/Installer: l,c/=, /Pl..4-77c.E.
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
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 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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'Signat7 y -
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Date
FOR OFFICE USE
Receipt # /'5 ?/.s-
Total AmountCollected:~~
Issued By:
JOB #: ~.AS7Y
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Date of Application:
17 ~~-~ r
Checked for Delinquencies:
Checked for Historical Status: