HomeMy WebLinkAboutPermit Fence 1997-2-13
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield! Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ~hll "D r1':2.>J"'<' I~,A-t;'
Assessors Map 11: / 1(J3 '223 L-f
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Tax Lot 11: ()()J()O
owner:-4'D~ 1\2i1d.-..<
Address:
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Phone II: 7'11- 93/'1
Ci ty: Y'..4
State:
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Zip:
Value of Fence:
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Fence Permit is $5.00
Contractor/Installer: :l\A..,
Add ress: t1t.,S'
Ci ty: J 'j(Jr'\e
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Construction Contractors
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Sta te:
Phone II: (9:y-. Yk.!::!../
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7~&' Expires: IJ- 3/-'17
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Registration II:
Ily signing this permit/application, I agree [0 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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1a ture
;)- f 3- '17
Date
FOR OFFICE USE
Date of Application:
JOB tI:~9<
Issued By:J. ~__
Receipt
Total Amount Collected: f~ -() ()
Checked for Delinquf'nd es: DntlQ
Check.ed for Historical Status:fJOf'l.A.-Y
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