HomeMy WebLinkAboutPermit Fence 1995-6-16
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: L/6I./J b/tJl'Ad Dv.
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Address: t./ti"af ('77/~
Ci ty: ~Y1-'!JR!J II,
Value of Fence: (i tJ(). --
Assessors Map #:
Owner: -rhhYYll7.~
State:
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SPRINGFIELD
Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lot #:
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Phone
#: 7tf(- (JU~
Zip: q147 f
Fence Permit is $5.00
City:
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Contractor/Installer: ~~~
Address: J./':J7If G;/~
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Construction Contractors Registration #:
State:
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Phone #: '11./1- t) 'tt)~
Zip: Cn41 f
Expires:
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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
FOR OFFICE USE
Date of Application: ,&/ft.-l' ~q5"
Receipt #_0 I Y7MR
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Total Amount Collected: ~.
Checked for Delinquencies: ~
Issued By:
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Date .
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Checked for Historical Status:
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