HomeMy WebLinkAboutPermit Fence 1991-07-30225 Fitth Street
Springfield, 0regon 97 477
FENCE PERMIT APPLICATiON
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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Offi ce:
INSPECTION LINE:
726-37s9
726-3769
CITV OF SPR"VGFIELD, OBEGO'V
4 b $Job Locati on :
Assessors Map #:Tax Lot #:
Owner:
Addres s :9nre-
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Phone #: 'lq I - |10q
C'ity , Sno^4,kef(State:_oL Zi p:q4 4'.14\o,
Value of Fence:
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Contractor/I ns tal I er :OUJ t\t.tr
Address:Sd./\"NL Phone #:
City:State:Zi p:
Construct'ion Contractors Reg'istration #:Ex pires:
By signing this permit/app'ligqtioq, I agree to call for an'inspection once my
fence has been constructed (7?6-3769). I also state that all information on-this-application/permit is correct and that I was provided with the Springfie'ld
Development Code requirements for fence standards.
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FOR OFFICE USE
Date of Application:
Recei pt #: >ob +q
o - ql Job #, 41r08q b
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SSU ed By lL,lov,v
Total Amount Collected 5
Checked for Delinquencies: L/" Chec!<ed for Historical Status . U,/
Fence Permit is $5.00