HomeMy WebLinkAboutPermit Fence 1996-8-1
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SP,RINClFIELD
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North ~ifth'Street
Springfield, Oregon'97477
Office:
INSPECTION LINE:
726-3759
726-3769
Owner:
~q(.,;2 . M.e'>r77#/1
Assessors Hap #: l~o'J()L( OCJ()'J.q('Jc-)
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~ '70 ~//f./~ cr
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Tax Lot #: -----
Job Location:
City:
State:
'6.-e
Phone #: . >~~ -(1 26 '>
Zip: 9 >r'LG,
Address:
Value of Fence:
/.5OCJ, eX) ,
Fence Permit is $5.00
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Contractor/Installer:
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State:
,oe
Phone #: /Ej'lf-J>26 >
Zip: '9 )L/z.b
Address: ",; //J ~/M.
Ci ty: {;A!!!45?V~U. 0
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Construction Contractors Registration #:
. Expires:
Ily'signing this permit/application, ,I agree to ca,ll for an
fence has been constructed (726-3769)" I also stated that
this application/permit is correct and that I vas provided
Development code requirements for fence standards. -'
inspection once my
all. information on
with the Springfield
'~ M/(~'
CY/I/9G
Signa ture '
Date
FOR OFFICE USE '
Date of Application: S-.,.../ ~ 1---C-:::,
22/1'1
Issued By:
JOB II: 'J'60 3..71
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,Receipt It
Checked for Delinquend es:
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Checked for llistorical Status:
Total Amount Collected: