HomeMy WebLinkAboutPermit Fence 1991-10-16
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELO
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Assessors
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Map I: \?Dmt\~
30b 0..D'f..-
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Job Location:
Tax LotI: n..... '::)UYJ
Owner:
Address:
~L
.s,~X-\~<l
State:
Phone I: '14 &;- 533'"
n~ Zip: q141g
City:
Value of Fence:
0<1
~50-
Fence Permit is $5.00
Contractor/Installer:
O(J...J V'o.V
Address:
Phone I:
City:
State:
Zip:
Construction Contractors Registration I:
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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Signatu7:-~ -~ '
(b-/&-ql
Uate
, FOR OFFICE USE
Total Amount Collected:
Checked for Delinquencies:
Issued
00
5-
c./'"
Job I: q II '22-S
Ily : J::Jo 10 \'v.>--
Date of Application:
Receipt I: 215gq
10- 1<0- Cf/
Checked for Historical Status: ~'