HomeMy WebLinkAboutPermit Fence 1991-12-17
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SPRINCFIELD
FENCE PERMIT APPLICATION
" CITY OF SPRINGFIELD
BUILDING 'SAFETY DIVISION
225 Fifth Street.
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759 ~
726-3769 ' ~
I, ' , - ',. .
'X,Job Location: /S-q<-/ L".av~.(} sr
'Assessors Map II: l'?l):z. L '7 '4, I Tax Lot II: 194 g~
X Owner: ' JI. AI1t~~i"r'H~. L ~ &-ir-bf0F P
Address: \SqQ UllJkU S1-' Phone II: -"lLt-'l ~@ '2.\}1~
':City: c:,.~, ,State:~ Zip:
l( Value ofFence: 200.00'
Fence Pennit is $5.,00
X ContractorlInstaller: rJroA/ ,t=:'.<1....KC~
Address: IS-OJ'; / AulZoA sr Phone II: -;<17-11'193
City: "P-PLD State: oil, Zip: <=/..,.;-"
Construction Contractors Registration II: ~/,,q
Expires: A//A
. 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 infonnation 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,
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Uate
, Receipt II:
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Issued By:
/"7. c7>?,
Job II:, 9//-107
/~~./7~ '
Date of'Application:
/2 -I <3J'.::'//
Total Amount Collected:
, Checked for Delinquencies:
'--
Checked for ,Historical Status:
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