HomeMy WebLinkAboutPermit Fence 1990-07-23225 Fifth StreetSpringfield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILOING SAFETY DIVISION
SPRINGFTELD
Offi ce :
INSPECTION LINE:
7 26-37 59
726-3769
C,ITY OF SPRINCFIELD, OREGO'U
Job Location:55/ & //d t7 4
Assessors Map #:Tax Lot #: 635)226;
0wner:
Address , 5El U /on,Tt/ /74
City:
Phone #: 7y1, -St , F
State d.-71 p | /717 7
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Value of Fence:7qQ "'Fence Permit is $5.00
Contractor/Instal I er z d-a-,* 7-r*--*- ea
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Address:
C'ity :
gna ure
Construction Contractors Registrat:on *: /// LL expires:ta/s t/ q.
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By s'igning th'is perm'it/appf icat'ion, I agree to call for an inspec_tion once my
fence-has-been constructed (726-3769). I also state that all information on
this application/permit is correct and that I was provided wjth the Springfield
Development Code requirements for fence standards.
*r-
Phone #:7/6 -83a /
Zi p , 911?zState:
FOR OFFICE USE
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Date of Appl i cat'ion:Job #:
Rece'ipt #:?Issued By:
Total Amount col I ected ,fri5 - CD
Checked for Del inquenci es:,/ Checked for Historical Status i /
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