HomeMy WebLinkAboutPermit Fence 1995-05-16225 North Fifth Street
Springfield, Oregon 97477
rENCE PERHIT APPLICATION
CITY OP SPRINGFIELD
BUII.DING SATETY DIVISION
SPRTilGFIELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OFEGO'V
Job Location: 17 9- ? \J p,{.q y S+
Assessors Map *:1r'l/
0vner: OS. u .c\ eb-11{ ? a,tta\ 6. tl..f b F \l'r(-
rax Lot *: LOU?I
Address:
Ci ty: ( .., n".,- c, f ,' Ll 0
Phone #:
Fence Permit is $5.00
Phone #:
.zip:7^q*7State:
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fr t o ob.ooValue of Fence:
Con trac tor/Ins tal1er :
Address:
.F gnature
y.
.l h
Ci ty:State:zip:
Construction Con r actors Registration #:res:
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 onthis application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
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t '5- l,f' - 99
Date
FOR OFFICE USE
Date of Application:
Receip t*
Total Amount Collected:
*:
Issued By:
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Checked for Delinqueneies:{Cheeked for Historical Status:K
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