HomeMy WebLinkAboutPermit Fence 1997-6-16
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 2580 ;I-4,z/Je$T ~A/.
Assessors Map I:n..o ~ 2..~&'{ '"
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Tax Lot I:
Lloo
Owner:
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Address: 2.580 JI-4,zvc.",-;- iN.
Phone I:
City: c7?P/l).
State:
oe..
Zip:
'l7<r77
Value of Fence: # 9 (:,o~
Fence Permit is $5.00
State:
O/L
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Phone I: 7Yr~8/g;>
Zip: ..97 '/77
6-7'/3
Expires:
Contrattor/Installer:
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Address: 3~~
City: ,')??/O,
WOOd /4NFL
Construction Contractors Registration I:
/06 %3 73
By signing this permit/application, I agree to call for an.
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Developmen t co~q~~. r en ts or fence standards.
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Signa ture "-. . Da te
inspection once my
all information on
with the Springfield
t,-/~-17
FOR OFFICE USE
Date of Application: f.g J ' (P /9 "f"
Receipt 11 tJllJID7- Issued
To tal Amoun t Collec ted: ~ . ~ 0
Checked for Delinquencies:~ Checked for Historical Status: ('l~-
Jon I: q 7 ncr3 .l-
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By: