HomeMy WebLinkAboutPermit Fence 1991-6-10
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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
Job Location: ;) '-/).. /
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Assessors Map #:
Owner: t~ t) r ; ,., (\ p
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Tax Lot #:
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Address: S/).y"v\p,. Phone #: 11/6 -/?t2X.;
City: <.;" r'- ; n ,,+=; e Ii State: IJrplf) 11. Zip: 97~:7:7
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Value of Fence: )(() /) Fence Permit is $5.00
Contractor II ns ta 11 er: () lAJ fC .e.I
Address: Phone #:
City:
State:
.Zip:
Expires:
Construction Contractors Registration #:
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 requirement~ for fence standards.
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Signature
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Uate
. FOR OFFICE USE
Date of Application:
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Job #:
9/c:J0!J1
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Receipt #:
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Issued By:
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Checked for Historical Status:
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Total Amount Collected:
. Checked for Oelinquencies: