HomeMy WebLinkAboutPermit Fence 1993-3-12
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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
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Job
Location: U (f S ib_rl.on 1I\~ c(49 J;?,
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Owner ~ 'l A -4- ~C\ ~u_:_._ r,,\ \(\(\ Ie.. '
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Address:'L\Lj~ Un. ~Jr\ ~Qj cl1,-Q. L0~ Phone
City: (c;,~tJ.ctJ_ State: nR
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Tax Lot
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Assessors Map #:
#: / )/"'- 7020
Zip:
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Value of Fence;/l>~~."'G
Fence Permit is $5.00
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"--q~one #:
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ContractorlInstaller: C'" {\ 1M ~1 C'>""
A~dress: l\(X~r~ '0
City:{' \ ~il )Q - - State:
Construction Contractors Registration #: ~~'7__~'\
Zip:
Expires' S -- '( -C\J~
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/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
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FOR OFFICE USE
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Date
Date of Application, ~- \'2..-Q~
Receipt # '\ ~ '\ l\ 6 00
Total Amount Collected, .-
. JOB r S'Y) () \ ()
Issued By' ~~~ .
Checked for Delinquend es,
Checked for Historical Status,