HomeMy WebLinkAboutPermit Fence 1996-4-19
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SPRINCFIELD . . "
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Pifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: ;La) 'i- :) IIVL{lJ-l\~ '-(/ Ai
Assessors Map D: /B~<;;:-//- <'''2.... Tax Lot D: &:>;/e::'c>
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Address: ~
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Value of 'Pence: ~(/ (I
State:
Phone D: 7 Y7 -(:1" 'f'
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Fence Permit is $5.00
Contractor/Installer:
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Address:
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Phone D:
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City:
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State:
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Construction Contractors Registration D:
Expires:
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 ...as provided ...ith the Springfield
Development code requirements for fence standards.
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Signa ture
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Date
FOR OFFICE USE
Date of
Application: ~-~,~
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Issued By:
Jon 1I: -"7~ S-S-"<
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Receipt
To tal Amoun t Collec ted:
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Checked (or Delinqllenr,; es:
Checked (or lIistodc<ll St<ltllS: