HomeMy WebLinkAboutPermit Fence 1997-04-08rBNCE PBRHIT APPLICATION
CITY OF SPRINGI'IBLD
BUII.DING SNFETY DIVISION
SPlrINGFIELO
0ffi ce:
INSPECTION LINE:
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225 North Fifth Street
Springfield, Oregon 97477
726-3759
726-3769
I CITY OF
Job Location:grL
Assessors Map #:1 bLt b Tax Lot S:
Ovner:
Address:
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3rr>U t6fi^Phone *:ryA{r-bns
Zipz 1 1
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Value of Fence:
Con t rac tor/Ins taIIer:
State:
Fence Permit is $5.00
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Address:
Cl ty: State:
Constructlon Contractors Registration #:
Phone *:
Zipt
Ex pi res :
By signing this permit/application, I agree to caII for an inspectlon once myfence has been constructed (726-3769). I also stated that a}l information onthis application/permit is correct and that r vas provided vith the SpringfieldDevelopment code requirements for fence standards.
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S ure Da te
FOR OFFICE USE
Date of Application:JOB *:105 /L
Receipt S )_Issued By:
TotaI Amount CoIIected:$s 0ct
clrecked for Delinqueneie.s, figln*checked for Historicar statush trx-l--
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