HomeMy WebLinkAboutPermit Fence 1997-5-20
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
lly signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
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FOR OFFICE USE
225 North Fifth Street
Springfield, Oregon 97477
Job Location:J Z""//7 #vd/3/</
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Assessors Map #: J I 0 J..l OJ 3/
Owner: G/Q~~ A.~(/
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Address:~ z..r7 M4,vdeNd?~
City: SJ.,hA~d:/cI
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Value of Fence: ~l)O ~
State:
Contractor/Installer:
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AddL'ess:
City:
State:
construction Contractors Registration #:
Date of
Application: 5 /JO / qr
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Receipt #
Total Amount collected:~~.()()
Checked for Delinquencies: Y10/1.L...
Office: 726-3759
INSPECTION LINE: 726-3769
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Tax Lot #: ()O 40 ~
Phone
#: 71 V.- DC-,,,, 7-
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Zip:
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Fence Permit is $5.00
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Phone
Zip:
Expires:
inspection once my
all information on
with the Springfield
Date
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Issued By:
JOB 1:_ CJ70 79(/J
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Checked for Historical Status: n~