HomeMy WebLinkAboutPermit Fence 1993-9-1
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SPRINGFIELD ....
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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: 1;( 3:2. ~~/II___1:'..P
Assessors Map #: //~o3""~tC...~~
Owne~:))tLu.e.- ~
Address: /~3~ ~~
Tax Lot #:
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City: S~ (;'()j)
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Value of Fence: ~~~
State: ~.O">-\
Phone #: 14'- -;(395 tJuz.k.-
Zip: 97f./77
Fence Permit is $5.00
Con trac tor /Ins taller: tf2,.-'i!...aAYo, ::I~R. 6b.
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Address: PO B<rl' 36
cl ty: .;5~J-{ ~'.P..IJ
Construction Contractors
State: ~
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Registration #: l!/10k,
Phone #: 1VC, - i:J:?~
Zip: 97C/11
Expires: /Z;1f/
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By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I.also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
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Signature
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Date' /
FOR OFFICE USE
Date of Application:
Receipt #
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Issued By:
JOB #: ~'3 /$Y~
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Total Amount Collected:
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Checked for Delinquencies:
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Checked for Historical Status:
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