HomeMy WebLinkAboutPermit Fence 1991-5-23
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Job Location: 5~t,o lJA-iSU Y I
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Assessors Map #: /:e 0"- 0 4-1 { ,.. --',
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Owner :..J.A) .-r/ l-tAf'I<b'1 -:.J'-Y'
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Address: ~lt, &0 D4-lSi1 :t:r- f I
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City: ~ r [ . State:
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Value of Fence: *' 30(0" c:00
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Tax Lot #: tof 1.01
Phone #: I L/ C:, - R, C'7
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Fence Permit is $5.00
Contractor/Installer: E.A'd- ~ePt0\.S
Address: /;~- ~~-=C-
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City:
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State:
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Phone #: ' I Y f- - S- S ~ ~
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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
t~is application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
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Signature . ~
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Uate
. . FOR OFFICE USE
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Date of Application: 5 - 2-,J-Cf { Job #: q/nS']z,...
Receipt #: 7-0\'43 Issued By: ~J:cA-. rJ.(( 'Il
Total Amount Collected:
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Checked for Del inquencies: IAJ
Checked for Historical Status:
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