HomeMy WebLinkAboutPermit Fence 1995-1-13
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
7;),06 G\ac.J'eX'
Assessors Map #: I <6 b Z- 02- 1 2--
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Address:lc;<qS ,G\ati'tV'
City: 5pri~eid
Job Location:
Tax Lot #: 02-1 () 0
Owner:
State:
OIZ
Phone #: 1117-441O
Zip: ~1Y7fJ
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Value of Fence: ~IOOO
Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone #:
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City:
" . State:
Zip:
Construction Contractors Registration #:
Expi res:
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~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
Development code requirements for fence standards.'
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Sig~~'~
Hb-C15
Date
FOR OFFICE USE
Date of Application: / -- 13.-<15
Receipt # Ors 999
Total Amount Collected:
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C?3/05'-(
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Issued
JOB #:
B;;-1
Checked for Delinquendes:
Checked for Historicill StiltllS: