HomeMy WebLinkAboutPermit Fence 1990-3-2
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map #: ,\ f)():)Q'7 l~
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Address: ~g'i '"*Q...... ~c...l (
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Tax Lot #:
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Owner:
Phone #:
.3 ('I- 92.'70
Zip: 5' ?ycl
City:
State:
of<.
Value of Fence:
~ 2..0' v
Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone #:
3'-1'-1- '72?0
City:
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 state 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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3- 2-9tJ
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Sign~
FOR OFFICE USE
Oate of Application: 3 -~.9{) I jJotf..#:. t!!/ltjLf()(()
Receipt #: LL.o..r14 (X!Jd By: (7)(j):J )
Total Amount COll;~_
Checked for Delinquencies:
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Checked for Historical Status:
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