HomeMy WebLinkAboutPermit Fence 1994-8-2
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SPRINGFIELD
FENCE PERKIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: 10 I - 7D 3 !J
Assessors Map 1I: n D 3> ""2....::2-3/
Owner:., ('~h I J~ ~
Add ress: 1 \ 7 h [)-/'.l-? n- (' k.....-
City: F=-..........~
Value of Fence: .$ X>(7) ~
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Tax Lot 1I: /(~
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State:
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Phone 1I: ~~:)-~7L
Zip: 17lflJ /
Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone 1I:
City:
State:
Zip:
Construction Contractors Registration 1I:
Expires:
Dy 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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S~e
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Date
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FOR OFFICE USE
Date of Application:
-6....2....-....'11
Receipt 1I
I L/ (72..-
Issued By:
JOB 1I: i{lf o1-2/L
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Total Amount Collected:
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Checked for Delinquencies:
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Checked for lIis tori C~ 1 St~ tl1~: ...............