HomeMy WebLinkAboutPermit Fence 1995-06-07ts
225 North Fifth Street
Springfield, Oregon 97477
FENCB PERMIT APPLICATION
CITY OP SPRINGPIELD
BUIIDING SAFETY DIVISION
SPllINGFIELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
-CITY OF OREGO'V
Job Location: t{ L{ 3 ru 5t^ 5 o rlv14( {-\J
Tax Lot #:t'4c
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Value of FencerJOO,oo Fence Permit is $5.00
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Assessors Map *:
ovner: A\on^.
ctor/fns taIIer:
State:
Construction Contractors Registration *:Expires:
By signing this permit/application, I agree to caII for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided vith the Springfield
Development eode requirements for fence standards.
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DateSfEnatureT
FOR OFFICE USE
Date of Application:t JOB
Receipt #b Issued By:
Total Amount Collected:t
Checked for Delinquenei.es: \ Checked for Historical Stattrs I U') d-b-l{
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