HomeMy WebLinkAboutPermit Fence 1991-9-6
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street Office: 726-3759
Springfield, Oregon 97477 INSPECTION LINE: 726-3769
Job Locat i on: 79i&. $/':LL ~ "S?;::::. ~ y.z;:>
Assessors Map 1/: J 7-0' - "Y~-vY
Owner: 6Eb;::U:; t5= ~~A/;1?~
Address: 7.q4 4"EZLY ;;Sc. //7;)
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City: e::;.p~Ln State:
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Tax Lot 1/: tPPS<:> /
Phone II: 7'1")-6'/159
c:::>71. Zip:q~~/:;;::>
Value of Fence: -;:;f 1'0.
Contractor/Installer: ~~~~~
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Fence Permit is $5.00
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Address:
Phone II:
City:
State:
Zip:
Construction Contractors Registration II:
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 . .
1-<::-9/'
Uate .
. FOR OFFICE USE
Date of Application: "7-~-<?/'
Receipt 1/: "2/2' 2t? Issued By:
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Total Amount Collected: ~ - - .,
Job II: q //0 7e::7
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Checked for Delinquencies:
-
'Checked for Historical Status: