HomeMy WebLinkAboutPermit Fence 1995-7-5
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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: 'J::?tJ-2' Uy:J./~
Assessors Hap 11: 17 0 3> 2 So t {
OwnermYh/;.U .e::.L--~
Tax Lot 11:~
Address: 25t>2 LOc},Lz:::J;-
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City: 7"7 (....L
.State: O'/C'
Phone 11: 5i1:s-7</7~Vo;;j/
Zip:5'7<1/7
Value of Fence: sz,t>r-
Fence Permit is $5.00
Contractor/Installer: ~~~
Address: ~.#?C /+::::: fi1P~
Phone 11:
City:
State:
-
Zip:
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Construction Contractors Registration 11:
-
-
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
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FOR OFFICE USE
Date of
Applicatio~~~-~~
D/ X' / 97
5 _ fS2)
Issued
JOB II: 951/ /::L..
BY~L-"r ,<, (J-----
Checked for Delinquencies:
~ Checked for Historical Status:
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