HomeMy WebLinkAboutPermit Fence 1997-5-23
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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
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Assessors Map It: /;e. t!; Z 6 S' I '2....
Owner: ./".,"';( iv, 1]3, let- .
Address:' ~(;, 7f 7 cjJ,d/1--
City:, ~/J~" .i~} State:
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Value of Fence: 3f{ ~,
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Contractorl,~nstaller: L~~~~,~ "I ~
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Address: /.-1 f, \('":'] ~:_f?,~ Phone It:
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C, tY:_.,/:k'-' ':':_~-';:....t'-L- State: (/~.
Construction c~ra~tois Registration It: 1lP fLt). <;;(' Expires:
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Job Loca t ion:
Tax Lot It:
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Phone It:
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Zip: 97c{)jJ
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Fence Permit is $5.00
Zip: 974CJe;t!
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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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Date
FOR OFFICE USE
Date of Application: C::./2../9,7
J!.ec!"ipt It 7. '5"'77' 0 Issued By:
Total Amount Collected: ~~
JOB it: 77c:9--S--/ "'7'
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Checked for Delinquetid es: Checked for His tori cal Sta tus: