HomeMy WebLinkAboutPermit Fence 1994-04-06225 North Fifth Street
Springfield, Oregon 97477
PBNCE PERUIT APPLICATION
CITY OF SPRINGFIBLD
BUIIDING SATETY DIVISTON
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OFEGO'V
Job Location:
Assessors Hap #:
0vner t Saa.*--
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tffia03/I Tax Lot #:
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Address: (aB S \ G\.-c \ g.-
Ci ty:
Value of Fence:
Cont rac tor/Ins talIer :
State z bre
Fence Permit is $5.00
Phone #: 3 y)- jS/)
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Address r Qt"9 lJ -s(^+\Phone *: (^3U - v1 Y.i-
Ci ty:i cl"l State:
Construction Contractors Registration #:
S gnat e
Ora Zip:9>vt tr
5 Expi res :tol.
By signing this permit/application, I agree to call for an inspection once myfence has been constructed (726-3769). I also stated that all information onthis applieation/permit is correct and that I vas provided vith the SpringfieldDevelopment code requlrements for fence standards.
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Da te
FOR OFFICB USE
Date of Application:
Receipt #
TotaI Amount Collected:,5.c1
Issue
Checked for Delinqueneies:Checked for Histori eal Sta trrs:
SPFlINGFIELl)