HomeMy WebLinkAboutPermit Fence 1996-6-21
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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: 7f9S AI, A- St-
Assessors Map #: f0(J?/3tft-R
Tax Lot #:
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Address: 7 fo %::
City: :s"'?rl I~
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Phone #: ? 2(0 ~ 2?Sa
Zip: 9?V 77
Owner:
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State:
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Value of 'Fence:
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Fence Permit is $5.00
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Address: 3Lf 1.( L00o:D 14~ -€- 'J:'J~.
City: '6?? (D . State: DL
Construction Contractors Registration 1I: /068'? 3
Phone 1I:
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?rct' - 69'8/
Zip: 9 ;:>c('??
Expires: 6-7 - 97
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Contractor/Installer: ft(' I t I ~
By signing this pend t/application, I agrcc to call for an
fencc has been cons truc tcd (726-3769). I also s ta ted tha t
this application/permit is correct and that I was provided
Development c e ~~or fence standards.
Si~ure ~ Date
inspection oncc my
all information on
with the Springfield
(; - 2-(" J7rp
FOR OFFICE USE
Date of Application: \o.,!H. q (0
Receipt # !J!t. \ ~
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LlJO!, II: ~loD~~-4:
Issued By: H\l M )
Total Amount Collected:
dlcckcd Eor Dclinquenries:
Chcckcd for lIistorical Status: