HomeMy WebLinkAboutPermit Fence 1994-5-10
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
nUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
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Office: 726-3759
INSPECTION LINE: 726-3769
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Job Location: ffi 1\)\ ~(\ l\.u9 Q ,~\t\t-Q
Assessors Map #: \ '\ - () ~ -~ - ~
Owner: \Jc-n'~~~A /'J~,~~~ Q j~~
Address:. '?,\_q\O~S'K. sh.\t\Q Y\ ~~ f\l"hhone
City: ~~ cOState:-(~~D~ZiP:
Value of Fence: ,\G,f{). Fence Permit is $5.00
Contractor/Installer:(09J.)~ Q 0
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Tax Lot U: \ \Qt'{)
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Address:
Phone 1t:
Ci ty:
State:
Zip:
Construction Contractors Registration #:
Expires:
lly 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/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
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Date
FOR OFFICE USE
Date o[ Application: \.t:=)//!)q 1 d JOB #: Cf4Dtold/
Receipt II \E\ \[J'b\ Issued By 01 U) ?J. )
Total Amount Collected: ~ CX) . ~ l\ C\~ ,~.\..or
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