HomeMy WebLinkAboutPermit Fence 1992-4-13
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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:-.CoI~ L.OC_h(\\I~f\ ~. fnU ~ '~(':"':f\p\r\ <19., Cj"4~..
Assessors Map #: 11tn!J/ L~ . Tax Lot #:' 01 ~)
Owner: Sh ~t\'1 p ~r\ (')t jbtn.!:\n r(\ \-i ~"'L~ II
Address:JJ>I:;:\ Loche:""" Au(>. Phone #: 1ri.1D-/d7Q
City: ~9~"JC;~.\rl
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Value of Fence:lLl":"I. DO
State: oQ Zip: cn'-l""
Fence Permit is $5.00
ContractorlIns ta 11 er: S4ro'Jh\-
Address: (n~4f) Mo.';". &/'.I>~+
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Phone #: '14 (n ~ fi~15 4-
CitY:~r; ~Ci"l...I State: ~R
Construction Contractors Registration #: bOlf bq
Zip:~a
Expires: b/ q J 9:1
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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 OFF ICE USE
Date of Application: 4. /3'C;0.Ji\ 0 Job #: q:J.()l::)(" Y
Receipt #: ./4_~ Issued By:f=j\~
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~ Checked for Historical
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Total Amount Collected:
Checked for Delinquencies:
Status:~
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0]101/0