HomeMy WebLinkAboutPermit Fence 1996-3-20
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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: IK;>;;2 TJ-\,1l.1r...cf.
Assessors Map #: 1 <is 03 . 0'2- "3 3-
Owner: Ce.....\.k...'j" "- t i ~kv'
Address: ('i(:;l;)' 'I ",.t a ~J .....H'--J
dty': s..y~\J State:
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Tax Lot It:. (") '} S()"ZJ
Phone It: 98"d>-;). b IS
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Zip:
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Value f F . ,;.-. . '" ,,0
o . ~nce: I.' (A '" ~
Fence Permit is $5.00
Contractor/Installer: C'n.....J ~e.. ""p~c:..e.... .d '\"\ e..cJ.~.
Address: CI <00, IV S'. (p ~ S<\-. Phone #: i?Y((..~ '-i j~S
City:. '3-..~~\J
State: ()vL
Zip: '1 -) '-f) ~7
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Construction Contractors Registration It: 7JL..~.s-
Expires:...~ - 10. q fA
By signing this permit/application, I agree to call for an inspection ~nce 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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Date
FOR OFFICE USE
Date of APplication:d-o Y\i\.O--v
Receipt It Oo[) /fPcr
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Total Amount Collected:,7t 5 . .
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7& JOB II: LiG()3t Cj
Issued By: f\. . ()'\.CLC'/"'l.cL({C-
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Checked for Delinquencies:
Checked for Historical Status:
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