HomeMy WebLinkAboutPermit Fence 1992-9-17
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SPRtFIELD
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:
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#: II D:::<;,2-z.. 5-J Tax Lot #: 02460
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Phone #: -/-.~9.F-S-311
Assessors Map
owner:~1
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Address:
City: O.d~
State:
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Zip:
Value of Fence: ,s/,?&. 9/..
Fence Permit is $5.00
ContractorlInstaller: ~~_h~J'" ~,.,e,;t/' ~.,..
Address: ,-=273 _"'.... ,,; J.-j / ;;: "-A _ Phone
State: &2,
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#: ~;> c;(5" -:::J <../ t. s..-
Zip: 9")</07_
Expires: i -ft, Jr..?
City:
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Construction Contractors Registration #:
By signing this permit/application, I agree to call for an
fence has been constructed (726~3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
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Si~a:ture
inspection once my
all information on
with the Springfield
9-,/~- 9'-
Date
FOR OFFICE USE
Date of Application: q /17 ,q 2----
r~ 7.r10
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Total Amount Collected: C;.~
Issued By:
JOB #: q 2/2--117
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Receipt #
Checked for Delinqupnries:
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Checked for Historic~l St~t\1S: _-