HomeMy WebLinkAboutPermit Fence 1992-12-8 (2)
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North FIfth Street
SpringfIeld, Oregon 97477
OffIce:
INSPECTION LINE'
726-3759
726-3769
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Address: A4qffi~ -to Uj 11) -L~)~hone #: '@lZ(O,. 3gc'O
City.~, ttJ flJ ;;ate. O\.oCv~ ZIP: Qtyf5S
Value of Fence: ~c:) ()~)~, Fence Permit IS $5.00
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Con t rac tor IIns taller \ _ L~l:fJ.i-P _______)
Address'
Job LocatIon:
Phone #:
City:
State:
Zip:
ConstructIon Contractors RegistratIon #.
ExpIres:
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 appl cation/permIt IS correct and that I was prOVIded WIth the SprIngfIeld
D V lopm t code re Irements for fence standards.
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Date
FOR OFFICE USE
Date of APPlicatIon'~ .8. 90-.- J. ~,: qt) (o{rf3
Receipt # lnC{ ~ () Issued By: ~y ) Q )
Total Amount COllected:~. 0 O~L-~
Checked for Delinquenri pc:;: Yl Checked for Hi c:;toric<l]
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