HomeMy WebLinkAboutPermit Fence 1993-9-14
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:, 726....3759
INSPECTION LINE: 726....3769
Assessors Map it:
Owner: ,T~
Address: _/I'f?
Ci ty: h,..,/<:.0v'1
glo1 T( (lJ~VJ1!Jr1{ ~/()}IL_
\'ltT3 0~?)) ~..' Tax Lot it: rt)~
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Job Location:
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r; ne1p ~('-r Or. .- Phone it: q 10'- 0)75<6-01:)73
State: Lc:d~,fjO-.- zip:6)563G
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Contractor/lnstall€;r: . / .~.
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Address: ~6q ;'dCJ~r7A:::...p /;7
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City:~orfwL~/rJ State:
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Construction Contractors Registration it:
~f&-f;:;~ ~l~nce Permit is $5.00
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Phone it: '7?.-6 - 0') )~
O'~ Zip: tf}?Lf77
\ ~. Expires: ",.
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Value of Fence:
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 f~nc~ standards.
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Date (
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Date of Application: C( 17Q"1,'i .-'-'. J-!on,1t: q ~-r4()~_
Receipt it . \O~CC '60 Issued By: (j 1 (j)6.J_
Total Amount Collected: 5, I
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Checked for DelinqUf~ndes:
Checked for lIistoricill St~tll'-
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