HomeMy WebLinkAboutPermit Fence 1996-7-8
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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
Job Location: '3'?~W~'-/~ K/',!2d,
Assessors Map #; J"70~/ '1150 - 00 I 0 I Tax Lot #:
l)e.;t'\ Y\ I J' fo yd "
Address: 3 ff ~tf ,Ita td/~ B.,.. J;::..tf. Phone
City: 5r--f'U. j State:-O r .
Value ofFence: t 3rrrm
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Addms: 3ff" If Jfa..~ _. '. ~G:-'. Phone
City:~ . State: (1)11'\
Construction Contractors Registration #:
01Jner:
#: 7 47- fa'-/-
Zip:_? 7 ~ /'?
~ Fence Permit is $5.00
#: 7 f I-I.~?'f
Zip: ' q''/tf-7-:>
,
Expires:
By signin/'; this permi t/application, I agree to call for an
fence lias been constructed (726-3769). I also stated that
this application/permit is correct and that I lJas provided
Deve opment code requirements for ce standards,
[ (
Siknature
inspection once my
all information on
lJith the Springfield
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Date
FOR OFFICE USE
Date of Application: l-9.. -90
Receipt # :4-iAlJ'~ ~.;:) 1.'l:'1'CPJ
I
Total Amount Collected: $5 ,00
Issued
Jon 11: C\ loDq cl ~
By:~.~p;Q )
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Checked for Delin'l""nc,i"s:
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Checked for lIistoJ:icill Stiltl1S: ~