HomeMy WebLinkAboutPermit Fence 1990-3-26
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: ' 726-3759
INSPECTION LINE: 726-3769
Job Location: Of,-/r; (jfl]-()A1l7ia.J_
Assessors Map #: J 1- 03 -:J-Lt -1/3
Owner: L;natA.- ;JybtA/lCt
Address: 911 C U1.fv;n I~
City: ~ d. State:
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Value of Fence: Ill]/)IJ,O.!l-
Tax Lot #: 14;J{)D
Phone #: 11{/-3;)-1Er
[))(.- Zip: C)7L/i7
Fence Permit is $5.00
Contractor/Installer: ~
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 state 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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Sig~ (j' ()
, FOR OFFICE USE
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Date
Date of Application:
Receipt #: ) (p 175
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Job #:
Checked for Delinquencies:
Issued By:
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Checked for Historical Status:
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, Total Amount Collected: