HomeMy WebLinkAboutPermit Fence 1993-6-9
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
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City: S;:'/;/74 ~.1'.1d State: tJlf'
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Value of Fence: /R~A (~),l.rh:J'p'k/lo/ence
Contractor/Installer: Ouy)?~
Job Location:
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Assessors Map 11:
Owner:
Address:
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Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lot 11: Cjl./Do
Phone 11: 7~/ d 75't:P
Zip: 9"/-f//P
Permit is $5.00
AOdress:
City:
State:
Construction Contractors Registration 11:
Phone 11:
Zip:
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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Signature
FOR OFFICE USE
Date of
(I2,Cj-13
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Application:
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Receipt 11
Issued By:
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Total Amount Collected:
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Checked for Delinqup.nd es:
6'- f- 1'3
Date
JOB #: . Cl~Dg/3
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Checked for HistoricRl StRtuS:
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