HomeMy WebLinkAboutPermit Fence 1992-4-15
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ~?I Wc.#-#V~
Assessors Map #: /7--v"?-'Z7 --j ~
Owner:_ r':''f'eCi'fl \:'w,\,)(J.\~
Address: C;ST L{")(\ lade.", Pt--tt'
City: <~(';~~;eJA State: VQ.
Tax Lot #:
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Zip: q?4? 7
Phone #:
Value of Fence: ~~~
Fence Permit is $5.00
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Contractor/Installer:
So. YY\ .p _
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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Sigmrture 0 ~
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Uate
. FOR OFF ICE USE
Date of Application: 7t'/5'.q-;;;.
Receipt#: 4''7'5/ Issued By:
Total Amount Collected: ~ ~
Job #: 9<~ t;"79
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Checked for Delinquencies:
e------- Checked for Historical Status:
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