HomeMy WebLinkAboutPermit Fence 1992-1-17
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SPRINCFA .
FENCE PERMIT APPLICATION
, CITY OF SPRINGFIELD
BUILDING'SAFETY DIVISION
225 Fifth Street.
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769'
J.b to"ti." 46 \ :;!rfl frllJMJ ... . .. ,
Assessoe~ap II: \~()~A ,~~ Tax Lot II: n?JloW. ,...1Jrl'..'.'
owner:(}JnnJ){)lJUl r->f1AtflQJ3 .,' . ,-cr
Address;- HC\Q. r\. \~-t/ Phone II: lo~;Ctlft'=\
my, 5J~M~ CDst't(\mMDf^!Z1P'~
Val ue of Fence: 4f'f). Fence Permit is $5.,00
'contractorlInstaller: ~)~lJ ~.~ J\~O ___
A~dress: Yl.\'f'J \~O l ti\?nclbhone H:'~n\~3l~S,
C,ty: 91 Jnp f) Q -' 4)te: ~, ,I ZiP:~ '" )
. Construction conQctors Registration.n:WX ()- EXPi'res:31!J?{ ~
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 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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, ~ ~ . FOR OFFICE USE.
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Date .0fAPplication: / - (7. cr& . k-lJOb H: " Cf[)()()4!L/
Rece1pt H: ..:..12..ffl) ,Issued BY:17) Ill!), ) ,
Total Amount Collected: ~.ro - ~, ----- "
Checked for Delinquencies: (~ Checked 'for Historical
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Status: ~
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