HomeMy WebLinkAboutPermit Fence 1996-07-18''-r --
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FENCE PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAI]ETY DIVISION
SPNINGF'ELc,
Office:
INSPECTION LINE:
225 North Fifth Street
Springfield, Oregon 97477
726-37s9
726-3769
Job Location: b1q5 Tnrrrstosl gd. Sorinq(-i(J o8_ cf,{lg
Assessors Hap $:o>E> o'{ *orax Lot *: Ll*o
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Address:Phone *:
Ci ty:State
Value of Fence: Apmx, loOO€Fence Permit is $5.00
Contractor/Installer, P,-"^tA-H."\ b.oo\c (rvrgtru^c-ficd
Address:Phone fi' -7t{1-\UZf
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zip: $-r{1Y
Ci ty:State OL zip
Constructlon Contractors Registrarion #, Iqb3, Expires:
Ily signing this permit/application, I agree to ca1fence has been constructed (726-3169). I also stathis application/permit is correct and that I vasDevelopment code requirements for fence standards.
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I for an inspection once myted that all informatlon onpro'rided vith the Springfield
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Date of Application:
Receipt lt
FOR OFFICE USE
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Issued By:n fiAa (L ol u
TotaI Amount CoIIected:_60
Clrccltecl for Delinqueneies: ./Checked for Ilistorical Status : ./
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