HomeMy WebLinkAboutPermit Fence 1996-8-1
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SPRINGFIELD
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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:
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1~01f)(..lZ 7 (7'Z"M7l'
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~ '70 /1'/Ik. CT
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Tax Lot #: ~
Assessors Map #:
Owner:
City:
State:
(!)e
Phone' #:, ;><yE/-J'26)
Zip: 9 >f';z.~ '
Address:
Value of Fence:
/50& ,cPO
Fence Permi t ' is ,$5.00
,
Con tr:lc tor /Ins taller: ------..
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Address:
Phone #:
City:
State:,
Zip:
Construction Contractors Registration #:
Expires:
By signing this permi.t/application, I agree to call ,for an
fence has been constructed (726-3769). I als,o stated that
this a~pli~ation/per~it is correct and that I was provid~d
Developmen t code re,qui rem s for fence standards. '
inspection once my
all information on,
with the Springfield
--r
S~gnature
%J>/ift6
Date
FOR OFFICE USE
Date of Application: '72; --I ~1,( ~ ,JOn I: 9@i!J3 90 ':
Receipt II 'ZZ7/4 ' Issued By: IM~
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Total Amount Collected: ~crv,
Checked for Delinquencies: ,..-----checked for Historical Status: ---