HomeMy WebLinkAboutPermit Fence 1991-8-20
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SPA_FIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth St,reet
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
t/2'?O P.#/.5 Y ~7 .-
Assessors Map #: J?-v:P2 -~~ - 33 Tax Lot #: c:)//~ 6
Owner:' #~~}~'~,/77 5A7"r/:)e-~
Address: J€ -c; ~~2 E;..,r~pR/:S~- )!>.z::>. Phone #:,-89.s-~5r;;;gc>
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City: /ft~> ~e-c~ State: c:-:/~ Zip: 97Y..?~
Val ue of Fence: /76>0
Fence Permit is $5.00
Contractor/Installer: ~.1/~,/f~/?c.==~;v-- ;-<A-~c:~
Address:37 ~9, fA/'~7 ..// zp~. Phone #:
City: E~~~/ State: ~~.
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, -:;:;;' '7"S-- -~~
Zip: q7~Z
Construction Contractors Registration #: :2~~~-;7
Expires: 7-72....
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.
dWH-~ h1
Signature
,
d-at2u9 /17/
Date /
. FOR OFFICE USE
Date of Application: $;--<'6-9/
Receipt #:, -:< /?:>S7
Issued By:
5' c::s c::>
Job #:
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'9/697</
Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status: