HomeMy WebLinkAboutPermit Fence 1992-8-21
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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: ~~_~~
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Assessors Map #:
Tax Lot It:
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Owner: c1 orry
Address: L/~/ ;;:,~
City: S Cl~ /00
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Phone It:
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State:
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Value of Fence: I,") 3:7.
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Fence Permit is $5.00
Contractor/Installer: '- <; r"('\..J.-J.",' '\
Address: ,...;L 0 S 4t.. + r- -
City: ,<:pJ lJ) State:
Construction Contractors Registration #:
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Phone It: -;; t/ 1- } if" 5'".-<6
Zip: q ") </ ) Y
Expires: '1- 9 "\
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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 and that I was provided with the Springfield
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\.-.00' \ - . Date
FOR OFFICE USE
Date of Application:
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JOB It: qJI/(P(P
Receipt #
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Issued By:
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or? _ ...
Total Amount Collected:
5. c=-&>
Checked for Delinquenr.i es:
Checked for Historical Status: