HomeMy WebLinkAboutPermit Fence 1995-04-20225 North Fifth Street
Springfield, Oregon 97477
FENCE PERI{IT APPLICATION
CITY OF SPRINGFIELD
BUII.DING SATBTI DIVISION
SPFI]{GFIELE,
0ffice:
INSPECTION LINE:
726-37s9
726-3769
CITY OF OREGO'V
Job Location:35 z
Assessors Map #,1"7 C )'6 Lt,
0vner:
Tax Lot *:CL13 6r*
0
Address:1
Ci ty:State:btQ zip:
Value of Fencers@.CO Fence Permit is $5.00
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Address'Ii 7e5 lJ ;[:f
State , ,; -)i.":-zi p:4l'-t 7 7
Construction Contractors Registration *:rres:
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 on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
Phone #, (5r/3>147-qnl
Phone *:
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S ture Date
FOR OFFICE USE
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,-(S+sDate of Application JOB *:C Ic')
Receip t#
.| _,Total Amount CoIIected: ij .--)
Issued gvt.f)ii : L-q1
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Checked for Historical Status:
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L/{---Checked for Delinqueneies:
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