HomeMy WebLinkAboutPermit Fence 1995-8-16
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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
Job Loca'tion: 0530 ;Icily 6T
Assessors Hap #: l 'if tJl..-.. O~ I (
Owner: !Y1.A'UelllA ~ iW1111/{'.....:J
Address: (.65.,':0 /IoIIY"::'1
City: 5'?.e.::....~~,~ \~ I'
()(t?LjlJ1) Tax Lot #:
C{o4r\r)
I
Phone #:
?2~ - 63~""2-
Zip: CJ 7Vl~
State:
oA-
Value of Fence:
3 '(5 ~
Fence Permit is $5.00
Contractor/Installer: :Plle'l f'l'c
State:
o,c
(DoV\ .;I.
Phone #: 7'11 - FYI 87
Zip: '77'1'17
Expires: 0-.'16
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Address: 3 if 'f
Ci ty: t;,??1 D.
woo"U I 1\ v. e.
iJl'lllci(
bL,
Construction Contractors Registration #:
IOb'iP3
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
Devel::men~cod req~~7n::~~ ~nce standards. ___
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Signature Date
FOR OFFICE USE
Date of Application: 0- / V -15
Receipt # ({J/571 L..../
Total Amount collected~ ~
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c-
JOB II:
YSI s~7
Issued
Checked for Delinquencies:
5. fSl)
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Checked for Historical Status: 1
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