HomeMy WebLinkAboutPermit Fence 1989-12-7
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. SPR.IFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield; Oregon 97477
Office:
INSPECTION LINE:
Job Location: C)Q-3q r!!a/ml iv
Assessors Map #: \ ~r{~ ()?1 ~ ?1
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Owner: Qlllv\--+ny') () IS-oVl
Address: 5q 3 '1 ~O I VVJ ia
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Value of Fence: ,;(, ffl -
City:
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State: 0 rZ--
Tax Lot #: n~q()()
Phone #: '7cf1- J-1;;;Z<?
Zip: Cf7L/-l f
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Fence Permit is $5.00
ContractorlInstaller:_ (l1L~~ 4/YUJ ~
Address: '-I-1SQ (l&-t/1~ . Phone #:
City: ~ay/J'LL.- State: ([)0 Zip:
Construction Contractors Registration #: U{)O;;;,cJ Expires:
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5/ ? /00
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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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. FOR OFFICE USE
Date of Application:
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Receipt #: . /55/0
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Issued By:~
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Total Amount Collected:
Checked for Delinquencies: 1/
Checked for Historical Status: