HomeMy WebLinkAboutPermit Fence 1991-10-2
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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
Address:
3?-5 ~A (l?/T'~
t~ ()3~(A ~ Tax Lot #:
~ok SCL~~asr
SlVV'(\.L Phone #:
J:~r;o l
Job Location:
Assessors Map #:
Owner:
City:
.s;rv~ol
State:
o~
-14& 356E:)
Zip: qr[4--1rr
Value of Fence:
00
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Fence Permit is $5.00
Contractor/Installer:
ow\t\.vY
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 state that all ,information on
this application/permit is ccirrect and that I was provided with the Springfield
Develdpment Code requirements for fence standafds.
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, FOR OFFICE USE
IQ.... 2., - q f
Date
Date of Application: It),- 2 - q I
',Job #: ClII. ISCJ
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Receipt #: "'2-1 4- g ~ Issued By:
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T ota 1 Amount Co 11 ected : 0 -
Checked for Del inquencies:,~
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Checked for,.H.~~t.orical Status: V"
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