HomeMy WebLinkAboutPermit Fence 1994-8-11
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SPRINCFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
City:
Job Location: 6S?C / ~;.~~
Assessors Map II: ~c::::> -< ~ 3'- q-
r,/~/C'r L./CS#4?~~
Address: ,?2;:tS. ,U~ "?7 ~ ?L.
;:;~~?9 - State: ~~~ -
Tax Lot II: c:::P2~
Owner:
Phone
II: 72~'7='~?
Zip: q,/y;?<;:::
Value of Fence: J'~~~
Fence Permit is $5.00
Contractor/Installer: e:;:;;-.c>?'7'"':c'i-' ,....~~~ ~ _
Address: C:;--6"e::> _<5..E!!:.. ~~7;>< . Phone II: ?S<"/,,/~ye:::;
City: <?~ , State: ~~ Zip: --5';> 'T'?S
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Construction Contractors Registration II: ~ :::t:?:;2 _ Expires: ~""3-:s--
~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 was provided with the Springfield
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FOR OFFICE USE
Date of Application: g~,~y
Receipt II J''/2~~
Total Amount Collected: .-s-:-...... [)
Issued
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Checked for Delinquend es:
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Checked for Historic~l St~t\lS:
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