HomeMy WebLinkAboutPermit Fence 1995-12-21
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
,
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
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726-3759
726-3769
~957 .fL~~r.A/ Z~. A>z>.
Assessors Map II: /7-:.!?<. -~-~
Owner: h...~~~ ~~ .,JZ::;~""/'
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Address: ~~.o ~A1'5r- ~
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C~.F~
Job Location:
Tax Lot II: ~'3'?.-...-,
State:
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Phone II: ? $I /~s-c-
Zip: ""9?7"'o/".??
City:
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Value of Fence: /15..::::>97
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Fence Permit is $5.00
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Contractor/Installer: _PT-?LP~ k.h'C6 C:::;;.
Address: t../t;/ / 7 _~~,;'~ _ .#V,i? - Phone
City: E/~.xr,g- State: ~_
II: 6Jiii5S~/',
Zip: q?V~
Construction Contractors Registration II: ~~:?
'2 ..... ~.~..--
Expires: .r- /' '/---:>
By signing this permi t/application, :I agree ~o 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.
4~Jw
~n~tury
Izh)9.5
Date'
FOR OFFICE USE
Date of Application: /:?-</--7'~
Receipt II /"?';?-Y3
fssued By:
JOB I: "'9~/9.;2. c;-
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To tal Amoun t Collec ted: ~ ,6
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Checked for Delinquencies: Checked for Historical Status:
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