HomeMy WebLinkAboutPermit Fence 1996-3-28
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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
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Assessors Map' #: /'SO Z Ci.:l 2. 2..
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Address: PO /30X: .575
C 1 t Y : UC(: SUI<:C (,.<-.
Job Location:
~Cf/ 3
Tax Lot #: 0 3CJ ~ t'J
Owner:
Phone #:
)t('1-8 L" f)
Zip: 9 >~?t;,
State:
o,e
Value of Fence: / ScCJ - C70
Fence Permit is $5.00
Contractor/Installer:
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Address: pV'O /;3~x 593
Ci ty: ~ .YAY? ~
State:
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Phone #: )L./~-g Ltd '/
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Expires: 3/'7 h0
Zip:
Construction Contractors Registration #: //~"/0
By signing this permit/application, I agree to call for an inspection once my
fE!nce has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided wi th the Springfield
DE,velopmen t code requiremen ts for fence standards.
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Signature
Date
FOR OFFICE USE
DaLte of Application: 1'/2.7 h~
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Receipt # 20&5'4
Issued By:
JOB II: <9 C\/ ~/ 5'
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Total Amount Collected:
s:~
Checked for Delinquencies:
Checked for Historical Status: