HomeMy WebLinkAboutPermit Fence 1991-4-2
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map II: /7 () ?J7~71 ~
Owner: AI AA)(. ~ g(\t'-T,.{M~,t:J
Address: L/ /,..,:3 LM J.JA () F ^\
City: S~II\\b1=IF"L[)
Tax Lot II: 02-9/'9\
Phone II:
741(-1-,'11'7 '
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Zip: 9707)
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State:
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Value of Fence:
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Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone II:
City: State: Zip:
Construction Contractors Registration II: <jJDrY\.~ f\(.r"'~ r Expires:
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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Signature
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FOR OFFICE USE
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. Job 1I:Cf)1) 2/1;
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Date of Application: 4-,-3-'1/
Receipt II: t 1~?Yj Issued By:
Total Amount Collected: ~-cJ[),
Checked for Delinquencies:
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Checked for Historical Status: --