HomeMy WebLinkAboutPermit Fence 1992-5-6
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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: l;;Lu~ I1(A1,ff.J1ni~',
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Assessors Map #: ~ j 7 03d--u<l L/
Owner : (Ian io:.-- -!xI'Y vr
Add ress : \9-La )-- U11 'f U1J1 ; ~
Tax Lo t #: ---/l.{P 0 ()
City:
State:
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Phone #: 1Lf7'/':)75
Zip: Q7'-11j
Value of Fence: 'SD -
Fence Permit is $5.00
Con trac tor /Ins taller :'-ff1iJ/112..--
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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FOR OFFICE USE
Date of
Application: G 6 ,qJ-
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Issued By:
JOB #: 9dO&'(2Q
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Receipt #
Total Amount Collected:
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Checked for Delinquencies: Y
Checked for Historical Status:
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