HomeMy WebLinkAboutPermit Fence 1994-05-10FBNCB PERHIT APPLTCATION
CITY OF SPRINGPIBLD
BUILDTNG SAFETY DTVTSTON
SPNINGFIELO
0fflce:
INSPECTION LINE:
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225 North Fifth StreetSpringfield, Oregon 97h71 726-3759
726-3769
Job Location:
Assessors M"p #: /ru7-?-*f Tax Lot {t: O'V7e-2
Ovner:
Cl ty:
z Phone #:
S ta te:
Value of Fence:Fence Permit is 95.00
Contractor/Installer: OU)l )k
Address:Phone f:
Ci ty:State:Zipt
Construction Contractors Registration #:_Expires:
Si gna t ure Date
FOR OFFICE USE
Date of Application:qr'
zi p:?za,S
By signing this permit/apprication, r agree to carl for an inspection once myfence has been constructei (zzo-llog). "r arso stated that all informatlon onthis applieation/permit is correct and that r vas provided wlth the SprtngfteldDevelopment code requirements for fence standards.
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Receipt {t' /Z?c/a
Total Amount CoIIected:
Issued By:
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Checked f or Delinquenei e.s:a-'Checked for Historieal Srarrrs:
Address: 2
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