HomeMy WebLinkAboutPermit Fence 1992-12-8
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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
Job Location:
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Assessoryap #: _ Tax Lot #:
Owner:~,)L't; /~ 'l (~t:iJSfJljlj'hM_)
Address: ~qCC9l ill J\Xj 1TI A~ ~Phone
City: ?, C\J;J {LJ State: ()A~Q
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Value of Fence: II l~
Contractor/Installed ~? 9 Jr) P.R
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#: 191210- ()<(f?l
Zip: q01-~
Fence Permit is $5.00
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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 appl"cation/permit is correct and that I was provided with the Springfield
D v lopm t code re irements for fence standards,
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Date
FOR OFFICE USE
Date of APPlication:~ .8. 9c9..- J ~ q[) (O{cf3
Receipt # \.oq~~5 () Issued BY:I~y~Q ) ..
Total Amount Collected: I,.--. . 0 O~L.- ~.r. :.
Ch~cked for Delinqupndes: Yl Checked for Historical St8tus: ~
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