HomeMy WebLinkAboutPermit Fence 1990-6-28
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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
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Assessors Map #: \ID~d~~
Owner: ~c'SiYJJ. \~n ~ ~
Address: Uqq, ,,' lP~ S't
City: ~~~1 PU40tJ" ~ State: ~
Value of Fence: ~ ~t:f).OO
Job Location:
Tax Lot
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Zip: q-,~
Phone #:
Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone #:
City:
State:
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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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Signature
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. FOR OFF ICE USE
Date of Application: \. ~ . 2.. <K. q() (~b #: -qcn~
Receipt #: / ') 'f)d ~ Issue@B:LJ\(f?D)
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Total Amount Collected: -: ') _
Checked for Delinquencies:
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L---- Checked for Historical Status:
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