HomeMy WebLinkAboutPermit Fence 1995-9-14
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
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nUILD~NG SAFETY DIVISION
225 North Fifth Street'
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: '-ISl/S' rU (
Assessors Hap #1 I~~Z .~-/=?
Owner: DICl-J" rJ.. ;:?,.J... /vI/' l.!ll-TG
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Address: t./,~q, ?:-ilr
Ci ty:<::",r"";; I! ~-Q State: /')12
Tax Lot #: ~ '5-?~.b
Phone #:
Zip: q- /<1
Value of Fence:
'7 (YO ~
Fence Permit is $5.00
Contractor/Installer: Gu.t,
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City:
Fb~q1)32
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Phone #:
Address:
State:
on
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Zip:
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(, -/)-9",
Construction Contractors Registration #:
Expires:
ny 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 and that I was provided with the Springfield
Development code requirements for fence standards.
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Signa tud:
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Date
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FOR OFFICE USE
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Date of Application: q"/~.s3-S---
Receipt ti /4/.7;Z~
Total Amount Collected: ~""
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Issued ny:
-jOB #: ~/Y'9<
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Checked for Delinquencies:
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Checked for Historical Stat\ls:---
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