HomeMy WebLinkAboutPermit Fence 1990-1-8
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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: lCl ~O S l (\2 f'\' ~ _'\:.fXLc\L
Assess~rs Map II: \ 'l fJr~~\o (\ II ~~ :.ot II: \~CJ
Owner. O~ge ') \-). ~~.
Address~ ~8 \ ~~\'" ~>l f d Phone II:
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Value of Fence: \~ Fence Permit is $5.00
Contractor; Installer:l U.l~ QP\DJ~~ .
Address: . ,'Q\()S\.-~~(J(\\~{\:(ftlOne II: .
City: %;-OfU\ ~ Stat~: AU
construct~on\ontractors Registration II: f\ 1(1 _____ Expires:
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Zip: Ylf4J) '6
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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 OFFICE USE
Date of APPlicatio~: f r ~Cf() ~ 9.JOb ;:gDCoM
Receipt II: \ ~\ \ ! . IssuoC5:l1\\ ~
Total Amount Collected: (~/'
Checked for Delinq~encies: \ -J Checked for Historical Status: L-----
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