HomeMy WebLinkAboutPermit Fence 1992-3-18
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Tax Lo t #: 06" ~ao
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Assessors Map #: 17-<'3-Z?-:z<l
Owner: R.'Pl:,.p(l('c, TrtAl",da./..(
Address: lot I L /J r" j, au,.,..._
City: 5:p{,' hjli..L/d
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Phone #:
7;)(ry -,C;9 tJ;-
State:
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Zip:
Value of Fence:
Fence Permit is $5.00
Address:
33 E
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State: oR..
Contractor/Installer:
Construction Contractors Registration #:
7;)() In 2.
Phone #: ~g,f-tf00 ("
Zip: . 97~2
Expires: 3 - ()(j- 9.3
City:
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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 stated 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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JfY1"'u..L It; ~95_
Date
FOR OFFICE USE
Date of Application:
'3~1S~-92
Receipt #
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Issued By:
JOB II: <1/~/-;;,;C>
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or
Total Amount Collected: ~~<!>
Checked for Delinquencies:
Checked for Historic"l St"tus: