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: 726-3759
INSPECTION LINE: 726-3769
Job Location:
c; 9 >f' /t;e ~7P;)j
/~o2.. ~f 1"9,0 Tax Lot 1I:
g~ /~5 .~
625'cro
Assessors Hap #:
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Ovner:
Address: ,:f?o ,-90\<" :5-':;3
City: C"etG-..$a/~~
State:
Phone #: ;> ~~-<:Y? ? ~
C9-e. Zip: 9>7-" Z4>
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Value of Fence: /5'0t9, =
Fence Permit is $5.00
Contractor/Installer:
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Address: ~c9-&;c .s-Y-3
City: ~-U.g,,'''/~L.{
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State:
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Phone #: ;:><Y'V-J"2.? ~
9 )t.(2.6
Expires: c3 / '7 /~tO
Zip:
Construction Contractors Registration #:
By signing this permit/application, I agree to call 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.
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inspection once my
all information on
vith the Springfield
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Signature
Date
FOR OFFICE USE
Date of Application: Y27('5'("
Re~eipt # -?p 1!>S"".r Issued By:
JOB II: 7' S/e:,-!S
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Total Amount Collected:
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Checked for Delinquencies:
Checked for Historical Status: