HomeMy WebLinkAboutPermit Fence 1995-3-1
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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: 5/7! pL;r'5yTArA
Assessors Map #: I ?ht92- (J 4- '2-/
Owner: (p.J...T I) A-r ~ Y ;r;..
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Address: .5 /7 ( ~ r'5')/ rl,; /-) /k
Ci ty: <;.tJn/lq he!.c/ State: o/--€
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Tax Lot #:
(j'50 c.9-O
Phone #: 7 ti'b - '87 5"'" 7
Zip: 9 j r-77
Value of Fence:
C;oo. 00
Fence Permit is $5.00
Address:
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" .,jF tel. - VA.eq~ State:
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Construction Contractors Registration #:_CC.67 Y7~Expires:
Re&V;5
Contractor/Installer:
City:
d"'Itu?
Zip:
?' fC6 - S-3 3"':::>
9'7 SL 77
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Phone #:
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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Date
FOR OFFICE USE
Receipt #
/(;;<171-
Issued By:
JOB #: 9 5()2.~4-
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Date of Application:
.3 - /
7,)
Total Amount Collected:
h,04
Checked for Delinquencies:
I ~- Checked for Historical Status:
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