HomeMy WebLinkAboutPermit Fence 1990-01-09225 Fifth Street
Springf ield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELO
Offi ce :
INSPECTION LINE:
726-3759
7 26-37 69
C,ITY OF SPF"VGFIELD, OFEGO'V
Job Locat'ion:
Assessors Map #:
L-)S-S
Tax Lot #I
0wner:
Address: I 3) 9 .(.7p rr r. D,Phone #: L {f -C-2,a t-
City:
Value of Fence, )OO=p*
State:OR€-C^'o"l
Fence Permit is $5.00
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Contractor/I nstal I er :0 wtz t4
Address:Phone #:
City:State:Li p:
Construct'ion Contractors Registration #:Ex p'ires:
By signing this permit/appligqli9!r I agree to call for an inspect'ion once myfence has been constructed (726'3769). I also state that all information on-this appf ication/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:
Receipt #:I s sued By:
Total Amount Collected:^4)'C).
Job #
checked for Del'inquenciBs! r.--- checked for Historical status:L--'z
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