HomeMy WebLinkAboutPermit Fence 1993-9-22
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: 6' ,;J.1t:, ;;(~J A:e:; ,
Assessors Map #: /7-o2-"?"?-~/
Owner: o(~ ..rJH.L ./
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Address: r::t't~7g,! ...Rzr-~.-"" J M _
City: f'(..,/J,J State: /)1.
Tax Lot #:
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Phone #: ') 1/ ;? - bJ....,.d
Zip: q 7~7y(
Value of Fence: b~~ eK>>
Fence Permit is $5.00
Cont~actor/Insta11er:
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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 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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sign~ure '
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Date
FOR OFFICE USE
Date of Application:
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Checked for Delinquencies:
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JOB #: ~P/S7'
Issued By: /'7....::::'~
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Receipt #
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Total Amount Collected:
Checked for Historical Status:
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