HomeMy WebLinkAboutPermit Fence 1994-4-6
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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 Location:
i,;,-~'S' G\CLC-';.e.-r
1fD{)C8/ /
Tax Lot II:
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Assessors Map II:
Owner: <:"e..a",-- '\>e~V'~o-.
Address: LoS ~ \
. c.,.\c...C-\<..r
.City: "~Y\~S~.ci.l;
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Vaiue of Fence:-,~SS-o
State: bre.-.
Phone II: 1 'f;:)~ 1, J ')
Zip: 9) If)ff
000
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Fence Permit is $5.00
Con trac tor/Installer: .,s:Cl.~ \It.. f=e "'-Lc.. J:{ '\)... ch.._
Address: q<.,q JJ Sen1-\. Phone
City: S f'\~1~:~~ State: nl'L
Construction Contractors Registration II: '), to(,,~
II: .J..a.rn, ~ <./"\ 'I )'
Zip: q") 'f') 5'
Expires: 5./Q.Q4
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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Signai:e
'2)
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1I-&-9v
Date
FOR OFFICE USE
Date of
Application: 4, {o ,.q 1-
I::J I XCI
--..-, 1
Total Amount Collected:
<-'5 cd
Receipt II
Checked for Delinqup'nr.i es:
Checked for Histodcill Stilt\l":