HomeMy WebLinkAboutPermit Fence 1990-3-19
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. SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
Job'Location:
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Assessors Map #: 1 g- - D) - (')1-1- / Li
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Value of Fence:f7D(j,Q!2-
Tax Lot #: Lfl () ()
Owner:
City:
State:
Phone
[#-
#: ~J!-I1-11/4
Zip: q141f
Address:
Fence Permit is $5.00
Contractor/Installer: 157A ~
Address: Phone #:, '
City:
State:
Zip:
Construction Contractors Registration #:
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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Signature
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, FOR OFFICE USE
Date of Application: 3- / '1- '10
'ReceiPt #: / /./ 3/0 Issued By:
5' [)O
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Job#: CJ{)()()5/.-
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Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status:
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