HomeMy WebLinkAboutPermit Fence 1995-7-31
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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
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Assessors Map II: /t:Z~:z.-t!:1~~
Owner: l2.l\J~/i2.... he..NJ I-bWl": c...
Address: f.o. Bo--,<:- 5'7'3
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Job Location:
Tax Lot II:
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State: C1I<...
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Phone II: ~_iS-~ Cl:'1S--'-f<j'l7
Zip: Q7'f2 ~
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Value of Fence: I~~C)
Fence Permit is $5,00
Contractor/Installer:
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H~M E S
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Address:
Phone II:
City:
State:
Zip:
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71-
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Construction Contractors Registration II: 17"tJ Z. 1
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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Signature I j/
7/3'1/15--
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FOR OFFICE USE
Total Amount Collected:
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JOB I: ~..;--<? ~r.;::;>
Issued By: /?~
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Date of Application: ?~ ~/.-9 S"
Receipt II
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Checked for Delinquencies:
Checked for Historical Status: