HomeMy WebLinkAboutPermit Fence 1994-8-24
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SPRINGFIELD
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
3033 ..f!:I~
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Assessors Hap
Ovner:_"h, IS..~ /
Address:.Ln /b JU.
Ci ty: en... ,"
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State: t:ttA ill)
Tax Lot #: 030 00
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Phone II: 7~'- 33<15 (t!w...,/J)
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Zip: R.$ 70 ("
Value of Fence: S I :1.? ",
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Fence Permit is $5.00
Contractor/Installer: tJR&GIr><. :1uu.~ (.p.
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Address: ? 0 ~ 3(,
Ci ty: +Ra/1,.i-I/
Construction Contractors
Phone #: 1{/~ -K3Z.Y
State: OP~'jn.t/
Registration #: <JI/I (,,(..
Zip: 9"7f'??
Expires: ':ilf'"r. '1 tf
~y 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 vas provided vith the Springfield
Development code requirements for fence standards.'
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Signature
l/z.y/t1'/
Date
FOR OFFICE USE
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Date of Application:
Receipt. # \ L\ L\ LIef
Total Amount Collected:
Q- -ZA JiJ
Issued By:
JOB II:
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10.00
Checked for Delinqu~ncies:
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Checked for Historic~J. Status:
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