HomeMy WebLinkAboutPermit Fence 1994-8-2
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SPRINGFIELD
FENCE PERHIT APPLICATION
CITY'OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Assessors Map #: /7 ()"=? 2..:2_~1 Tax Lot #:
Owner:, ( ; ~t '\ I fA, ~ "-.fL- '
Address: , I 7 h ()-t'~ v) (" .k.-- rz- d
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Value of Fence: $ r:;{(Jl) <V
Job Location:
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City:
State:
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Phone D: '~y. ~-Cb7L
Zip: 17t(tJI
Fence Permit is $5.00
Contractor/Installer:~~
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Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
~y signing this permit/applic~tion, 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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Date
FOR OFFICE USE
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Date ~f Application:
Receipt #
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Issued By:
JOB #: t1 ~ J7 0 ~
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Total Amount Collected:
Checked for Delinqupnri p~:
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