HomeMy WebLinkAboutPermit Fence 1995-5-31
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SPRINGFIELD
FENCE PERHIT 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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,.}o~ Location: //.e!S ~ 11&'1 LAw1-lrtJb~ Ave. <~,,...,j?.
Assessors Hap II:~ .e'J, U 1 , '. Tax Lot II: ~i.l~
Owner:_gm:-IZ:rF.. 7/2EB<.. ~ ,dnl( ~~ .; "
Address:-I!.A~ L.AWN~'>(.,F ."c1\)e.. Phone 1I:.f-se-~) 7t11-1W"O
City: ~~~'1t::"f:l3I" State:~L- Zip:...!17"'" 7
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Value of Fence:
Fence Permit is $5.00
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Contractor/Installer:
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Address:
Phone II:
City:
State:
Zip:
Construction Contractors Registration II:
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 appli tion/p rmit is correct and that I was provided with the Springfield
Developme ode qui ments for fence standards.
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FOR OFFICE USE
Date of Application:
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Receipt II
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Issued
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By:~ L_~-___
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Total AmDunt Collected:~, ~~
Checked for Delinquencies:
r----- Checked for Historical Status: