HomeMy WebLinkAboutPermit Fence 1997-1-9
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
B~ILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
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Assessors Map II: /eJ#.. C!J 2 ~ / ?
Owner: 5.0Y.1~1 F,~/J SJ-oo/ (),',,/-
Address: /'X era AI. 4'2nd- Sr-
Ci ty: S;OrIVl'.!I heM State: ()Je
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Value of Fence:.$/ OJ "lOO
Tax Lot II:
/") '? 7~
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Phone #: 7/..P/~h 57.5
Zip: q7l{ 7 ~
Fence Permit is $5.00
Contractor/Installer:
()WlIl.€IY"
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/applieation, 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 corree~ and that I was provided with the Springfield
. Development code requirements for fence standards.
15~ 8~
/- Q-'17
Date
Signature
FOR OFFICE USE
Date of
Application: / /'9 /97
242,,5- I
Issued By:
JOB #: '77/"n') z..2-
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Receipt II
Total Amount Colleeted:
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Checked for Delinquenci es:
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Check.ed for Historical Status:
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