HomeMy WebLinkAboutPermit Fence 1990-5-29
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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: ~OY'1 DOll)lVE L,-v ()/dIIlE'
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Sfl/J.'I/J(;.1=1 St.,.. 0/2.. 91'117
Assessors Map #: \"1 - D?' - d-I - \ :) , Tax Lot #: ~'1 C:>D
Owner: ~ck~ ~o.r-:.r~~~
Address: \ \QC\ \\.\ ~'~ ~ t Phone #: Ic/AR -C1 1,)..-:'
City: ?='J ~ ~~~ _ State: ~ Zip: C\f'-lO~
Value of Fence: fg 0012 ,,0 Fence Permit is $5.00
Contractor/Installer:
LLoyo fJ.. A ~II)Eor)N s/?o
r7fnm E.
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Address: .).oLfQ - DOrJrJeLLV
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City: S()~/nJ("FIEJ...O
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fJlLll)1o Phone #: 14/- '19 () /
State: ()/L Zip: 97'f77
Construction Contractors Registrat,ion #:
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
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
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FOR OFFICE USE
,Date of Application: ~.?{) --qO:j~#:~31 q
Receipt #: \rOOL Issu...ed.::&?': UVJ~~C\._\
Total Amount Collected: ~~ '
Checked for Delinquencies:
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\ ~'Checked for Historical Statys: ~