HomeMy WebLinkAboutPermit Fence 1996-8-20
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 No~th Fifth St~eet
Sp~ingfield, O~egon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: Lfr;-fo. ( '1-1/ Y
Assesso~s Map II: \ SZ[)d.C1:::l~
O"'ne~: Nnw....! r /A:<,
Add~ess: tJS(,.,( T/.I....
s,1'.- J!./rJ (
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Tax Lot II: 03:J(()
Phone II:
City:
State:
0J1f:.. Zip:
Value of Fence:
2,"=><0 "'.2-
Fence Pe~mit is $5.00
Add L-ess:
Pn
7L
B'i G"'L"~
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Phone II: (,.2~ 5;2><1
Cont~acto~/Installe~:
City:
State:
C!),(
10 Ie 71'1
Zip: 9- /l!()'-I
Expires: (. -.31 - 9>
Const~uct10n Cont~actors Registration II:
lJy signing this pe~mi t/application, I agL-ee to call fo~ an inspection once my
fence has been const~ucted (726-3769). I also stated that all information on
this application/permit is correct and that I "'as p~ovided ",ith the Springfield
Development code ~equi~ements fo~ fence standa~ds.
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Signatui:"C - (
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Date
FOR OFFICE USE
Date of Application: ~ .r(l() .C1rt'(1
Receipt II '" f\q'?i) 41~ssue'a/:BY:
Total Amount c~~ed: lSJ!;J-/' ',;-':."" J
Checked fo~ Dclinqllendes: ~ Checked fo~ Historical StatllsY