HomeMy WebLinkAboutPermit Fence 1996-8-1
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
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Assessors Map #:
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Owner: /a--t
Address: 6 ;z.~'
/703
27
4.2
Tax Lot #: 02.3 CtO
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Phone #:
7 '17' -.:J..6 JG
9'!'{("- J-~03
Zip: 9 ?/;,.,
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Value of Fence: .10" I!)O
City:
State: d/
Fence Permit is $5.00
Contractor/Installer: ~.._.... ~Ti!.<
Address: "2<' ~;:"'tL./~ U""I~
Phone #: <; 't f?' l} J(}f
City:
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State:
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Zip:
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Construction Contractors Registration #:
Expires:
By signin!'; this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
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Signature
inspection once my
all information on
with the Sprin!';field
9'-1-96
Date
FOR OFFICE USE
Date of
Application: ?; h /'70
Z2-7~f /
Issued By:
JOB ~ J CJC::I?9),,),
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Receipt 11
Checked ror Delinqncnci es:
L"i: (T'rO
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Checked for Historical Status:
Total Amount Collected: