HomeMy WebLinkAboutPermit Fence 1990-3-26
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, SPRiNGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors Map #:11-"n -3 --;)-/J ..-- L/3
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Value of Fence: Jt /D!)'~
Job Location:
Tax Lot #:
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Owner:
State:
Phone #:,:1/16-: tz.7 tJ~
Zip: 17'17'7
Address:
City:
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Fence Permit is $5.00
Contractor/Installer:~~p ~
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 correct and that I was provided with the Springfield
Development Code requirements for fence standards.
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Signature
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Date I
FOR OFFICE USE
Date of Application: 3~;J-/.t?.-q (J
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Receipt, #: /& 6/ 2. _Issued By:
Tota 1 Amount Collected: 5 ,,() ()
Checked for Delinquencies: ~
Job #: Cf tJ()~5?--
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Checked for Historical Status:
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