HomeMy WebLinkAboutPermit Fence 1994-12-1
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FENCE PERKIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 7')':5 t..t>GtY#V~"j:f/ dyE
Assessors Map II: /? '&>:;>~ "<::::>':0> V Tax Lot II: ~~-.....;.
Owner: r.{Z~~~;r;r~ ~/?5'/:)LT~~~7'
Address:'~ ~-/--~~.fli.:hone II:~'
City: ~~L7) (~ 7:te: ~~ Zip: ~,Y:>"")
~.alue of Fence:~S-O. """€::>
Fence Permit is $5.00
Contractor/Installer: --J:?.-r2 ,d._I f'tf!!: ~
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Address: I ?L/( V- ap~..,L'l_7
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City:
State:
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Phone II: 74?)-?~~
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Expi res: tt!S -"'!?5""
Zip:
Construction Contractors Registration II:
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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Date .
FOR OFFICE USE
Date of Application: /'2-/-e; y
Receipt II /56-;;:>~
Issued
JOB II: 9~5cr-
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Total Amount Collected: e:!;';~
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Checked for Delinquend es:
Checked for Historical Status: