HomeMy WebLinkAboutPermit Fence 1995-7-31
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SPRINGFIELD
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: t:.-!970;:?;/?<;;t't4-
Assessors Map II: ...L1fjr-e:>,z -0 Y'-~
Tax Lo t II: t::!':2 -:A.--- ~
Owner: 2..1.'v~ B~J ~.:s ~ .
Address: (t/. O. 'iS~ "::::-'73 Phone II:
Ci ty: ( ILt1:: ?u; <7 {r State: c?~-
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<g"{ S"" - '11'157
Zip: 97 L(':L. Ce,.
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Value of Fence~ '-;,-00
Fence Permit is $5.00
Contractor/Installer:
12l V<C..V2- -b E:-f'\.J&
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Address:
Phone II:
City:
State:
Zip:
EXPires:#"
Construction Contractors Registration II: -rffJO 2-1
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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Signa ture ( ;I
7/5/ /q~""'--
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FOR OFFICE USE
Receipt II
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Issued By:
JOB II: <9. S2:>/~
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Date of Application:
?-3/"95'"
Total Amount Collected:
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Checked for Delinquencies:
Checked for Historical Status: