HomeMy WebLinkAboutPermit Fence 1997-4-1
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SPRINGFIELD
FENCE PERHITAPPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: J711 C'0/-15L<C/r4J..
Assessors Map #: Lo+ 13 I a -r
Owner: M yoA! /!J /bG- vu tZ~~
Tax Lot #:
Address: 'pJ..%IJ# T /~ J..h
City: e~a-e~p_
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Value of Fence: to
Con trac tor/Ins taller, ~w~
State:
Phone #:
~pf?(r- Zip:
Address: 372"/
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State:
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Permit is $5.00
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Ph~e #: -7%~;2JOC(,
Zip: ?'7cr:77
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Fence
Construction Contractors Registration #:
Expires:
By signing this permit/applicatiori, I agr~e 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 ~ence standards.
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Date
,
Signature
FOR OFFICE USE
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,Issued By:
JOB .: q 7[)Lf to q
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Date of Application: y- /-
Receipt # }~/~?
Total Amount Collected: C; jfD
9':7
1"
Checked for Delinquencies: _____
Checked for Historical Status:
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