HomeMy WebLinkAboutPermit Fence 1994-1-4
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SPRINGFIELD
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:
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Assessors Map #:
Tax Lot #:
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Phone
#: '1'1(,- b 781
Zip: 97'-11-1
Address:
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Value of Fence: C-:;,., t.8. ./
State:.lJ-.-1C">.
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Fence Permit is $5.00
Contractor/Installer: ~ ~-
Address: 'i>, 0 ~ 3C,
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Phone 1I: 1V-€:'- 8 "3j <I
Zip: '1'7V:1'?
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Construction Contractors
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Expires: IV'1I.(
State:
Registration #:
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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Si~~~ ture
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Date '
FOR OFFICE USE
Date of Application:
11'-\ I <1t+
JOB 1I: C1~ 1 'SS tc
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Receipt #
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Issued By:
Total Amount Collected: oliSoV
Checked for Delinquencies:
-------
Checked for Historical Status:
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