HomeMy WebLinkAboutPermit Fence 1995-9-6
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon .97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Loca.tion:
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Assessors Hap 1I: /l!3....&J;?-C;<y'....,r9'
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Tax Lot 1I: c:73 V~e:::>
Ovner:
Address:
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Phone 1I:
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Zip: "77C/ ~
City:
State:
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Value of Fence: /~v:'. crt?>
Fence Permit is $5.00
contractor/Installer:_~~~~~
Address:
Phone 1I:
City:
State:
Zip:
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Construction Contractors Registration 1I:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
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Signature
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Dat/ / i
FOR OFFICE USE
Date of Application:
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Receipt #
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Issued By:
JOB I: 9$""/YY4-'
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Total Amount Collected:~ ~~
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Checked for Delinquencies:
------ Checked for Historical Status: