HomeMy WebLinkAboutPermit Fence 1992-8-21
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SPRINGFIELD
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
.225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: EJtj f q _Tv V
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Assessors Map #: /~-O:<_o~--:;> 'V
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Owner: 1Ji},J::A": 1. ;,)rJtlf'ro,,' h
Address: LJ'IL/9J vy
City: <r+IJ). State: 0,
Tax Lot #:
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Phone U: 7t-l!-QS ~ 7
zip:9 7t/ 7 V
Value of Fence: I. 9'1 t" -
Fence Permit is $5.00
Contractor/Installer:
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State: (') 'f'
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Phone #: ') LI/ -- ') '?<-J b
Zip: q 7 <-I 7 Y
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City: -<'" f-~ \ M
Address:
Construction Contractors Registration #:
7 S 7 (") 'J
Expires: -y. '7 ~
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By signing this permit/application, I agree to call for an
fence has been constructed (726-3769), I also stated that
this application/permit is correct and that I was provided
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Signature -
inspection once my
all information on
with the Springfield
.8~/
Date
FOR OFFICE USE
Date of Application:
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Issued By: 4 ~
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Receipt # ~"'7~,
Total Amount Collected:
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Checked for Delinqupn~tes:
Checked for HistorlcRI StRlus: