HomeMy WebLinkAboutPermit Fence 1995-8-22
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SPRINGFIELD
FENCE PERMIT APPLICATION
ClTT Qf SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street Office: 726-3759
726-3769
Job Location: . /1J',fJA/t;., ~\ S~ Co 0 '(xLi S j <. ~,c:)!
Assessors Map #: /7- t5:l- J?- rftf Tax Lot #: /StrO
Owner: fjw /
Mdress: 3soo S+ef4Yk,+, PkAifj S'-/-" 1b"one' #:
t2-6s.o-~ State: bf?- Zip:
$/ 60
Value of Fence: l))L5Z)
Contractor/Installer: h!P/l/l/"
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City:
97(//()
Fence Permit is $5.00
State:
CI/I< 0
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~ ~0 ~ Phone #:
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City:
01 /)~ 'b lrl"j ')
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/41 -OL~~
Zip: 174:22;
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Address:
Construction Contracto~s Re~istratton #:
Expires:
By signing this permit/application, I agree 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 fence standards.
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Signatu
A.;J:l.'K '
Date
FOR OFFICE USE
Issued By:
JOB #:
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61 37 tf
Date of Application: t -" '6'L-QC)
Receipt # '1~1~1
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Total Amount Collected: C;,lY)
Checked for Delinquencies: ~
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Checked for Historical Status:
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