HomeMy WebLinkAboutPermit Fence 1993-9-2
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
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10011
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Owner: \) okV\. So. \ \ ad.ll.<A - :'\ u ~
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Address: J;;(,ftJ J<e....V'c.u, },^"0 5I)tIJ,OIf~
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CitY:~tlt'\v'::rh.o~r\ State: Of~~(/,^
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Value of Fence:\.- ::5 ~5". ..-'
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Tax Lot 11:
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Phone
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Zip: q 71./ 77
Fence Permit is $5.00
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Contractor/Installer:
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. Address: p.tQ; a.1,."t 7/7
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State:
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Phone 11: I '-I 'i -() 3 Z ~.
Zip: 9?..se'..rS-
Expires: J /~~
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Construction Contractors Registration 11:
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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 stated 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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Date ( 7 -
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FOR OFFICE USE
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Date of Application:
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Receipt 11
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Issued By:
JOB 11: 93/3J~
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Checked for Historical Status:
Total Amount Collected:
Checked for Delinqup.ncip.s: