HomeMy WebLinkAboutPermit Fence 1990-1-26
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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: -4 \) l {) Mn(1 hn 1 ){J nJ
Assessors~ap #: \0 t'l:)~ \ ~ Tax Lot #: D()qry)
Owner: C1('fl hn J ,.p n vn J) hi 0 r~~
Address: -! I q q 1\ --C~) Phone #:
City, '1 ;_~Q ~ st,t,,(tnO(\~1Iy") Zip, Qf)4-W-
Value of Fence: d~{) Fence Permit is $5.00'
Contractor/Installer: t. W--l ~
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
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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Uate
FOR OFFICE USE
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Date of Application: l..,~c9-q() Job#: qO()\C\~
Receipt #: \ ~9-.?1c:jIssued By: ~c f\\Q ~(\ 0.( Q. ,
Total Amount Coll~cted: D~) - '
Checked for Delinquencies:
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Checked for Historical Status:'