HomeMy WebLinkAboutPermit Fence 1996-4-1
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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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owner\- 'tJ)('\ ~~"O vYl _ (L'm~ 0 t? )
City: 0 ('l ~ate: . Zip: 0l4,5<:
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Vol" of ',,,eo QN?cO .""" P'~'" i, $5.00 . '1
Addres : 4-l13 Phone II: q:J4 Q'1-'O
City: _t Y~fJlL State: ~ ziP:OC14()~
Construction C~tractors Registration II: \c:>lcf1 \()( Expires:
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By signing th1s permit/application, I agree to call for an inspect10n once 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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Sig a ure C)
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Date
FOR OFFICE USE
Date of Application: 4 . \ .C\ lR \ nJOB I: C\ 5\L\1.' ")
Receipt II ~tJC\ \\ ~ cD. Issued By: \J'~~
Total Amount Collected: ~
Checked for Delinquencies:
Checked for Historical Status: