HomeMy WebLinkAboutPermit Fence 1993-11-22
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: /'1'37.;;t" ______y
Assessors Map #: / '7 7):~ -:2-."/ / 0
Owner: mtni28~ ' (!~
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Address: /1'3'7 .::I~ sr,
Tax Lot #: 2f91'J7J
City:
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of Fence: l.;(tJS,~
State:. ~~
Phone #: '7vt - d;2-//
Zip: 97'1'77
Value
Fence Permit is $5.00
Contractor/Installer:fl...
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Address: PO&,.,,- 3{'"
City: .s~ f.d./
Construction Contractors
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State: ~
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Phone 1I: 7Vt;J52.-Y
Zip: '17c(71
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Registration #: W/bh
Expires: / Z- - 9'1?
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.
P "f 4a-~~
Sign'a ture
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Date
FOR OFFICE USE
Receipt #
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Issued By:
JOB II: ?3(7~,0
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Date of Application:
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Checked for Delinquencies:
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Checked for Historic~l St~tus:
Total Amount Collected: