HomeMy WebLinkAboutPermit Fence 1996-8-1
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FENCE PERMIT APPLICATION'
CITY OF SPRINGFIELD
BUILDING SAFETY,DIVISION
. 225 North Fifth S~reet
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
,Job Location: .tj9& ( /tJ.e...s.<rm/A
Assessors Map #: l %' b;2.:0 Lj 2. ::< 0 3;) ni ')
Owner: ~/(/t.e~ ~5
Address: & >0 ~/#v~ c/
Tax Lot #: ____
Phone #:
?tf L/ -J L& "l
Zip: . 9' >':'-'2..&
City:
De4-..5w~c
State: (Y;(2.
Value of Fence: /.5()9,cXJ
Fence Permit is $5.00
Contractor/Installer:
.6vr.e-~ IJ,.~ <.
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City: /',F?-L-</A/t:U State:
cPk!.
Phone #: ?o/tf -.1'26 )
zip; 9)~'L0
Address: 10 '/0 PI",,. cr
Construction Contractors Registration #:
Expires:
By signing this permit/applicition, I agree to c~ll 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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inspection once my
all information on
with the'Springfield
Signature
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Date
FOR OFFICE USE
Date of Application: X- ......1 ~ '9 /'~
Receipt U 2...27( tt
Issued By:
Jon ll: q (0 Ofo&2 C.,
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Total Amount Collected: C:;, VU
C!lecked for Delinquencies: 't~hecked for Historical Status: ~