HomeMy WebLinkAboutPermit Fence 1990-12-6
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 517~ JaSfPer eeL
Assessors Map #: I ~O rJ.,O&/3-0Q']()()
Owner: KDd 71e-1
Address: :3'01 D Kith Ict.ncl
City: ~~ State:
Tax Lot #: 00')O()
Phone II: 74-"7- L{7CJQ
o!Z--- Zip: Q7V-7tJ
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Value of Fence:
45D~
Fence Permit is $5.00
Contractor II ns ta 11 er: OWrLer
Address:
SOvme.-
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state 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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FOR OFFICE USE
Date of Application: /;)jG f 00
Receipt #: I gOJ63 Issued
Total Amount Collected: ~~
Job #: 8''7()~ ({P QO\452-
By: U1tM no AN I ""jy7
- !J V"~J
Checked for Delinquencies:
Checked for Historical Status: