HomeMy WebLinkAboutPermit Fence 1995-5-24
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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: Uqc:; - dY/,fbJ ,(;,/J.'/
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X Assessors Map #: /76):5 2. 7 / L
Owner: '(;{l()dr,{ 1-6//. ~ /-/E1/I.l-
Address: 2L/) IJ ? ~ /}. \ ~. ~ Sf:( rJ f._Phone #:
City: c..,ri) State: II R
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Value of Fence: ~ CtO
Tax Lot #:
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7(/Y!. f}A~6
Zip: q 7 C/7 '7
Fence Permit is $5.00
Contractor/Installer: "'T'>-. J7.. \. - - - ~ ~.LJ
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Address:
Phone #:
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 stated that all information on
this application/per' s corre~t-and that I was provided with the Springfield
~elo\men code equirements for fenc standards.
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C3gnafui'C ( -- bar ;/ .-
\ FOR OFFICE USE
Date of Application: . 5/2.~9 r
Receipt # J 7.;f)' 7 Issued By:
Total Amount Collected: ~~
JOB #: 9?07~3
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Checked for Delinquencies:
c------- Checked for Historical Status:
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