HomeMy WebLinkAboutPermit Fence 1994-8-2
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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: 12-5.....77~7 A(
Assessors Map #: 1703 3S l:>.,
Owner:, ( ; lv, I JJ. ~
Address: , \ 7 c:-, ().f'~ v) ('.b- . ~-d
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Value of Fence: :/I ~671 C'V
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Tax Lot #:
I ?J45lJ
Phone #:
~Y:::rCb7L
Zip: t!7t[tJ/
City:
State:
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Fence Permit is $5.00
Contractor/Installer:~
Address:
(IW~
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
JJy signing this permi t/apllli ca,t ion , I agree to call for an inspectiori 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
Developmen t code requiremen ts for fence 5 tandards.'
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Date
FOR OFFICE USE
Date of Application:
Er2.-rc;f
Total Amount Collected:
G. oz)
Issued By:
JOB #: q L( ()l/t to
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Receipt #
I L( (]'Z.--
Checked for Delinquen~ies:
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Checked for Ilistorical Statu.":
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