HomeMy WebLinkAboutPermit Fence 1993-01-11CITY OF OREGON
TEI.ICE PERHIT APPLICATTON
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRIllGFIELO
0ffice:
INSPECTION LINE:
225 North Fifth Street
Springfield, Oregon 97477
726-3759
726-3769
Job Location:/oSC \41 , /{L
Assessors Ma;r
ovner, \%
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2 Tax Lot *: .$aZ-
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Address:
Ci ty:
h;c, nl /{-b sa;r Phone #: )a b -A // 7
zipzf)/77State:
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Va1ue of Fence, ?sc -'Fence Permit is $5.00til
By signing this permit/applieation, r agree to carl for an inspection once myfence has been constructed, (726-3769). "r arso "t"t"d that aIr information onthis apprication/permit is co.."ct and that r vas provided with the springfierdDevelopment code requirements for fence "t"ndarJ".
Contrac torlIns taller :j-n
Address:Phone #:
Ci ty:State:zip:.
Construction Contractors Registration #: Expires:
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FOR OFFICE USE
Date of Application: 1 -Zf^?=JOB *:
Receipt # ?Z va Issued By:
TotaI Amount Colleeted:
-{\
Checked for Delinqueneies:---Checked for Historieal Status: