HomeMy WebLinkAboutPermit Fence 1994-6-17
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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:
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Assessors Map #: /:S~. c:::>y -/7" Tax Lot #:
Owner: In \ ~ \,C\ e \ ~ :[JOn '0,('), \Z\ f' 'vJ ~
Address: S1ln~\\Q.\V'f\~C'-,- C}. Phone
Ci ty: ~.Q('\
Value of Fence: 4J5DD. 90--
State:
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Zip: Qll\J~
Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
.Expi res:
Dy 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
Date of Application:-6-/ .7-9 7
Receipt # /'";J 7"<l)" g
Issued By:
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Total Amount Collected:
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Checked for Delinquendes:
Checked for Historic~l St~tllS: