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: 726-3759
INSPECTION LINE: 726-3769
Assessors Map Ii:
Tax Lot Ii:
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Job Location: .~=)c; I
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Owner: .It 0.1 -fl '&-.::r
Address: .:l3 S J .:J ~ '\::u,.
City:~
41 _
Value of Fence:j("S<f ~
State:
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Phone Ii: -;71'6 - b 7 iJ'
Zip: '77'/77
Fence Permit is $5,00
Address: 9.0 B...v 3~
Contractor/Installer: ~_ --:1..
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Phone Ii: '1 Ifb - 8'$ 2. 'I
City:+.":"_j 6"'~ State:~_
Construction Contractors Registration Ii: ~/{"L.
Zip: 97'-?77
Expires: Iz..jqcp
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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Datel Yr'
FOR OFFICE USE
Date of Application: i Iy I q~
Receipt Ii ) 1'd5C7
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Issued By:
JOB Ii: Cf~ IS J to
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Total Amount Collected:
$SOO
Checked for Delinqu~ncies:
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Checked for Historical Status: ~