HomeMy WebLinkAboutPermit Fence 1994-10-3
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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: //'7S'
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Assessors Map #: /'7,,-"7- Z 6- (/Y
Owner: /~-t~~/ ~/ ,*.-L,~)
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CitY:--+//17~"U State: a4e''1'-f-~' Zip:
Value of Fence: ,~'~~. 7.3 Fence Permi t is $5.00
Contrac tor/Installer: 4:i'7.r ~-t'fi -'<:'<'1'_ .,{J, / ~ _
Address: ;{J,,1 L5>~ ?' /7 Phone #: ~? 9 ...... S- 2/ J
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City:;::dM4 F~ff~State:-d-/~ ~Zip: q7Ys~s ~ _
Construction Contractors Registration #: '7~.!i-ifR" _Expires: 4/- 9"f.? '
Tax La t #: /2.6 ""t!>
Address:
Phone #: ~g~ - ~.2. ? 0
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Dy signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.,
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Date
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FOR OFFICE USE
Date of Application: ~/&>-7~ y
Receipt # /Y9?Z$ Issued By:
To t~l\~~moun t Collec ted:
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JOB #: ' ~V/~~
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Checked for Delinqupn~ies:
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Checked for Historic;!l Status:
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