HomeMy WebLinkAboutPermit Fence 1994-8-5
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FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Locatio~: G1U:7 t; 1ft
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Address:
City: S
Assessors Map #: /f{t-"?7-o/..,,y jax
Owner: lev '+ t j/lcll~ M,'(\ Y\I(~ kp,
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Lot #: ~":?.JFi ~~
Phone
#~ 7t/7- C:-~;;7
Zip: ory<t 7 ~
State:
()v.
Value of Fence: ::::?~___
Fence Permit is $5.00
Contractor/Installer:
(}(..1 r., el Ve....~
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
~y signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.,
1fL~
S~ ature
FOR OFFICE USE
inspection once my
all information on
with the Springfield
(-(-q{
Date
Date of Application: '1f/-~~ 7' JOB II: *' cy/:;>~/
Receipt # /4'--:i?7S Issued By: ~-;;?- -
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Total Amount Collected:
Checked for Delinqup,ndes:
------
Checked for His tori c,ll, Sta tllS:
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