HomeMy WebLinkAboutPermit Fence 1991-7-20
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SPRINGFIELD
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
Job Location: 57Cj5
K4I-/I'\,!tt- I..p.tvtr"
Assessors Map #: /1I'-D"")--D'-f- /'/ Tax Lot #: ~tJOD
Owner: 1:61!31:7L"7 i.>. l' Ju",... 1. !{H-G" L-I9Y
Address: -' "7q!' KA-LM' I> '-"'",or Phone #: I -;:I..(., - '" I -,'~
City: S PI2I"';6fIG~' State: oQ Zip: Q7't'13'
Value of Fence:
Ire>
#67{-
Contractor/Installer:
S€L--r
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permitlapplication, 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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Signature
FOR OFFICE USE
Date of Appl ication: 7 /2.. ~ /t~1
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Receipt #: Z.O,'7'7r'l Issued By:
Total Amount Collected:
Job #: 9/(J f7~ ()
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Checked for Delinquencies:
-00
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Checked for Historical Status:
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