HomeMy WebLinkAboutPermit Fence 1991-7-18
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street Office: 726-3759
Springfield, Oregon 97477 \ At'::; ?\ tQ~ INSPECTION LINE: 726-3769
Job Location: /4&>1 !Jf:len-! H :5TR J-4D-~-- 1423 fke-r;jA~
Assessors Map #: 17 -eJ3 -3?, -3-2.- DfoZoo ,Tax Lot #: 33>/734
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Owner: I, J9.~"'J~ J 1 ~ .. -" ')
Address: tLf()tt ~ 1<.(23 1l~ .l1 (~
City: ~fjf) State: ())(. zip:9iV77
Value of Fence: ~ ;23.Cl 0 Fence Permit is $5.00
Contractor/Installer:
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Address: 4q,:sq ~dtlli' Phone #: G89- 4t28'
City: 8~(E' State: 0-L Zip: 77tf?? .
Construction Contractors Registration #: (c002C/' Expires: t::; !c;J/ q?-
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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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718/9/
Date
FOR OFFICE USE
Date of Application: f(.(<t).q'
Receipt #: ~nlZi (} Issued ~y:
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Job #: q/U g'j (
Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status: