HomeMy WebLinkAboutPermit Fence 1990-3-2
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, SPA_FIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors Map #: ,\ Yj ()2>Qf') I ~
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City: L &1'
Job Location:
Tax Lot #: n/ rJCX)
Owner:
Address:
Phone #:
State:
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Zip: 9/Y6/
Value of Fence: s;,,;)c:;O
Fence Permit is $5.00
Contractor/Installer:
S~r>1-c..
Address:
Phone #:
3y<l- 92lo
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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, FOR OFF ICE USE
,Oate of Appl ication: ~~ .f). 9() ............/J Jbb' #: A qn~r J
Receipt #: lit) /7..1 Cfjd By: t7l/ m ), ,
Tota 1 Amount Co ll'ected: ~ .
Checked for Oelinquencies:
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Checked for Historical Status:
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