HomeMy WebLinkAboutPermit Fence 1993-10-18
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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:~~ ~~it-L;d iJ..pY-9";7f?~~5I'
.J(Assessors Map #:~ (i~=/~/1 '~'1'ax Lot #: O()LJ{Y)
'Owner: ~/JkA/~~
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Address: JtJ7~ ~~, :Jfad_
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Phone
#: 7#,6--.::?-?99
Zip: t??L/7/-950~
State:~(J.U,-
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Value of Fence: ;tfhl/b.?
Fence Permit is $5.00
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_ "1117~. d *';;rOT-obrL.- - 10.00
Cont rac tori installer: j//~. IZo~An' ,r--. bAU'/ ~t.7.
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Address: Qrf}~,ruP _?4??3 Phone #: 6f'f-~O
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Cit9-:~.ji~L~CZ---'State:~I?~ Zip:Py?t"Od-
Constructiol(Contractors Registration #:-13..R#//)6;/'J" Expires: 4,,9 ,;::S.Cf4
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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 fence standards,
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Sig~l~e' ;,/ ~K.
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Date
FOR OFFICE USE
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Receipt # \~\n~~ Issued By': ))(I:f>--------
Total Amount COlle:ted: I(), W -
Checked for Delinqupnd p.s:
Checked for Ilistoric~l St~tIlS: