HomeMy WebLinkAboutPermit Fence 1997-6-6
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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:
S.,p~ rT..J
/7 ()'5;)<-/ ODn
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Assessors Map ~:
Tax Lot ~:
107-
Owner:
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,
Address:
., ..71.
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Phone ~:
7"1(-3.''''(
City: .!f~,_)C~ll
State:
....0
Zip: '17'177
Value of Fence:---L.S"4t)
Fence Permit is $5.00
Contractor/Installer:
-<..I P
Address:
Phone #:
Ci ty:
State:
Zip:
Construction Contractors Registration #:
Expires:
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 vas provided vith the Springfield
Development code requirements for fence standards.
'FIr ))" Q. 'J.tI.. .-
Signat re
(. /, At)
Date
FOR OFFICE USE
Date of Application: 0/&(1],-
Receipt #-/) 2. (f 01 (
Total Amount Collected: </> S' W
Checked for Delinquendes;,~
Issued By:
JOB I: 1_7 Dg 7 (p
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Checked for Historical sta,tlls:/1f11--c..>--