HomeMy WebLinkAboutPermit Fence 1990-01-10C,ITY OF OREGON
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUiLDING SAFETY DIVISION
SPRINGFTELE'
Offi ce:
INSPECTION LINE:
225 Fifth Street
Springfie1d, 0regon 97 477
Job Locat'ion : Lr t:+
Assessors Map #:Tax Lot 0s-
0wner:
Address:_e,
City:
Value of Fence:t0
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11 Phone #: 6 r*L -7 v \-
Li p:9t+ut,State:
0D
0:Fence Permit is $5.00
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Contractor/I nstal I er :O c*,t {1 ,tLt-
Address:Phone #:
State: Z1City: - -
p:
Construct'ion Contractors Registration #Ex pires:
Bys.igningth.ispermit/appliglli9!llagree.tocallforaninspectiononcemy
fence has been.;;;i;;;t-e[ ii2o-576gj.'r llso state that all information on
this application/perm'it is correit aiO that I was provided with the Springfield
O.r.foph.ni CoOe i-equirements for fence standards.
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FOR OFFICE USE
Date of Application:0 #
Receipt #:I s sued
Total Amount Collected:
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LJ
Checked for Del inquenc'i es --t-.Checked for Historica'l Status z /-
726-3759
7?6-3769
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