HomeMy WebLinkAboutPermit Fence 1996-7-17
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SPRINCFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map #: ---1$-.t?~ -Pb ,/'2
Owner: 136& "AND F,A-ll\-\ FaRSI Ie:::;
Address: 34~ 0 Do LA u- L}<.S DR \ II~
City: ePR\N0-F'(~ State: 0R...
Tax Lot #: P::?~C>
Phone #: <;;41- ,-14-~1'l1'
Zip: q,4--r~
Value of ' Fence: $\ZO::>.Qj
Fence Permit is $5.00
Contrac tor/Ins taller: \ ~ S, f'n..-Lli-D B Ll 'S. E--Lp
Address: A-e.oVe:.. rhone #:
City:
State:
Zip:
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 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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Sig,fature
,JI7Ht
Date
FOR OFFICE USE
Date of Application: ?, / 7,~
Total Amount Collected:
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JOB 1I: 9oe:>?7"?
Issued By: ft-v'?-
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Receipt # ~25'7":2
Checlted [or Delinqupnr.ies:
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Checked [or Historical Status: