HomeMy WebLinkAboutPermit Fence 1977-3-28
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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: i.J42< Ilo/IY 51 . <;fJ;::/J c:Il.
Asscssors Map n: it 02 l5s:, 1/ () Tax Lot n:
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Addrcss: t.{t/2-') 1..J6/1Y 5}, . <J't'f'/(/ Phone 1I:
97'-174
(09 (j 0
7'(7-'177')
City:
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,
State: ('J/l
Zip:'17'17'Y
Valuc
Fcncc Pcrmit is $5.00
Contractor/Installcr:
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration 1I:
Expires:
By signing this pcrmit/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 requirem nts for fence standards.
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3-2..'b-77
Date
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FOR OFFICE USE
Date of Application: 3/;) 1/q (p
()2 Sn'7Of
Issued By:
JOB 1I: qi04i.f'f
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I
Receipt It
Total Amount Collected: :L'~.OD
Checked for Delinquend es:~
Check.ed for lIistorical Status: h4f'h1 __