HomeMy WebLinkAboutPermit Fence 1996-3-29
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon ,97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assesso:~~ 1I: /783 2. 7 , cf- ~ Tax Lot 1I:
Owner: iY\~ ~f\C'L._.li1i0Uo ~
Address: 3 ~'t Ero"k.s.'rJ.p hr/\d
State: /\V'~
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Job Location:
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Phone D:
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Fence:_~qn.ct:)
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Zip:
Value of
Fence Permit
is $5.00
Contractor/Installer:
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Address:
Phone 1I:
City:
State:
Zip:
Construction Contractors Registration 1I:
Expires:
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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3-;29- /9'1(.
Date
FOR OFFICE USE
Date of Application:
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2-e7 , e-?, 1 (
Issued By:
JOB I: Cj~t94c//
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Receipt 1I
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Total Amount Collected: ,~G:>lO
Checked for Delinquencies:
-
Checked for Historical Status: