HomeMy WebLinkAboutPermit Fence 1993-2-26
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FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: hi Y ) no.M IJA1-0h
Assessors Map #: /7 ?l:::>'? '7 I::>'"
Owner: too/;! t1/~ P do fh^~/vS
Address: t/qq ^i ~/VVIr ~
Ci ty: ~ State:
Value of Fence: ~ 101 . DO
Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lo t #: 0 I 2-?r'"'l
(M.d Dallk ')
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Phone #: & YI( -1 f 2,~
0-.,2.. Zip: C{74-ov
Fence Permit is $5.00
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Contractor/Installer: 7p)r7JV0.er
Address: P () b O-J- 110 S(
City:-L;oJ^J~ if
State:
Construction Contractors Registration #:
#: Cf37-?rf??
Phone
fJfZ-
72. (j(l Z.
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
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Signature . Dat~~' ;r'
FOR OFFICE USE
Date of
Application: 2..-'Z.lo -13
# tJ 1047
Receipt
Total Amount Collected:
If-..OD
Checked for Delinqu~nci~s:
~OB II: ~ q?JD2r~ I
Issued By: I f'\A_ /
V V-I"
Checked for Historic~l St~t\ls: