HomeMy WebLinkAboutPermit Fence 1996-6-11
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SPRINGFIELD
FENCE PERMIT APPLICATION '
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street Office:, 726-3759
Springfield, Oregon 97477 INSPECTION LINE: 726-3769
Job Location: ci2r-7 -Z r;!,eand ~ fA ?lfll"tt1
Assessors Map ft: /7 Os c:2 L/ 0000
Owner: RoJ eUl+eJ) .
Address:.~~'Z DI!lh1/J, tJ~a- fA
Ci ty: 5JfrtIJ State: E2
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Value of 'Fence: r9- 'SOD
Contractor/Installer: .-<.i. oln. Ib~
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Tax Lot ft:
7ojo
Phone
ft: 7t//:101C/
Zip: 97 C/'? 7
Fence Permit is $5.00
Address: ~ ~ 77
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City: ~/2-
Phone ft:
State:
Zip:
()~L.r77
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Construction Contractors Registration ft:
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Expires:
By signing this permi t/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/per' 's correct and that I was provided with the Springfield
".''A' q"" ,." foe f,." ",.d"d,. h /IIIQ L
Signature~ -- Date I I
FOR OFFICE USE
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Date of APplication:-'& ~/I-f(/:J
Receipt fi Dug?&:-
Total Amount Collected: it S . C50
JOB t:
By: /7 - /Ylc9ch odo
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Issued
Checked for Delinqu~nries:
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Checked for lIistorical Status: ~.