HomeMy WebLinkAboutPermit Fence 1992-08-07SPRlI{GFIELO
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FENCE PERHIT APPTICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
0ffice:
INSPECTION LINE:
7 26-37 59
726-31 69
C'TY OF SPRINGFIELD,OREGO'V
Job Location:172 s zWax
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Assessors Map *, / ?"CIL Cr S * I Tax Lot +, Ob 6rD
0vnen I La.av
Address:
Ci ty:
ttz- <. 4+c =lr Phone #:
$Per p6tr teD)L
State z Ul<-zip: Q lrt-fr
Val-ue of Fence:?\>o N Fence Permit is $5.00
Con t ractor/Ins taIIer:
Address:Phone *:
ci tyt_ state Zipz
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information onthis application/permit is correct and that I vas provided vith the Springfield
Development code requirements .Eor fence standards.
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sig na ture Date
FOR OFFICE USE
Date of Applicat ion, B/Zb2 JoB #, qz/dbz-
Issued By:
(
Receipt + 5BZ 3
Total Amount Co1lected:
Cheeked for Delinqueneies:
oe
Checked for Historical Statrrs:---+=-.-