HomeMy WebLinkAboutPermit Fence 1995-7-14
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S,tf'G'FIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
JO~ Location: <.~\f>~4- ..~~
Assessors Hap #: \ '\\)~?'l}\~ Tax Lot #: D~\
Ovner: ~'l~f\"\r 'L ~ - ~ -
Address: ;.\o.(1?)' 1 f\ G Phone #:\~\'\~
City:~ i State: \~~ ZiP': q,\~~
Value of Fence: \ \ ' Fence Permi t is $5.00
Coo ".""/,",,,",,. . D ~\M.lJ\~ '" ~Il1'LJ~O>
Address:-3 \)f) ~ ~\, _ Phone #: Q~.O~\CQ)
City: -q.~ r0j no _ -Sta~e~ ZiP:o...1.4JY1.
Construction cont~actors ~egistration #:~ 1.\9 Expires: \.0 .\?l.~lP
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 application/permit is correct 4!nd that I vas provided vith the Springfield
Development code requirements for fence standards.
ignature
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Dat~
FOR OFFICE USE
Date of Application:
Receipt # \~~ W
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Checked for Delinquencies:
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Issued
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By: )
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Total Amount Collected:
Checked for Historical Status:
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