HomeMy WebLinkAboutPermit Fence 1996-1-23
1
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 NOlth FIfth Street
SpringfIeld, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Job LocatLOn: \ '--\: '\ \ C1 '^ \~"\^,^,\,;llr- ~\-I J A_ '
x'Assessors Map # II 0:' ~5 3 ~
Owner: ALN3~ -H<: A- V\klI1, J
,t' / I /'~ ~ ' 81uA.
Address:,)~ 43-1 ~(~l,),P<L.. Phone #:
Cay. r(f ,+t..--.!..._ State. f) (t., ZIp'
Value of Fenc;) ~cl '- /'" Fence Perm t IS $5.00
Tax Lot #: II '?1OD
'7 7....(., 0 C Lf 0
/ 7Lf77
Contractor/Installer: f -f'~ L-F-
Address S::C ~ IlLi_5,1 ..."A-,/~)t;1
I . L Phone #.
--'
CIty:
State"
ZIp:
ConstructIon Contractors RegIstratIon #.
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ExpIres:
By sIgnIng thIS permIt/applIcatIon, I agree to call for an
fence has been constructed (726-3769). I also stated that
thIs applIcation/permit is correct and that I was provided
D;;O:~nU,'~ts or fence st dards.
sTg~Ure - \.::j V
Inspection once my
all Information on
with the SpringfIeld
1- "2.]-0 fo
Da te /
FOR OFFICE USE
Issued
JOB
By: A.
I: q~ r507&
, - i
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Date of ApphcatLOn.l- A ~
,
ReceIpt # O}...O ) Lj .:+-.
Total Amount COllected:~-~
-'1(61
(J()
Checked for Delinqu€'ncie~: L----
Checked for HIstorIcal Status'
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