HomeMy WebLinkAboutPermit Fence 1996-05-28._f 4
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rBNCB PERHIT APPLICATION
CITY OF SPRINGFIBLD
BUITJING SATTETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
0f f ice:
INSPECTION LINE:
726-3759
726-3769
OFEGO'UC'TY OF
Job Location:
Assessors Map #:
Ovner:
Address:
city: 1,' -lt -A
la
Tax Lot #:
Phone #:
State olt
Fence Permit is $5.00
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Value of Fence:5 000,o2
u (Con t rac tor/ Ins taIler :
Address:3o L* t Phone *:
Ci ty:S tate:Zip:.T 7q77
Constructlon Contractors Registration #:lres:
Ily signing tlris permit/application, I agree to call for an inspectlon once my
fence has been constructed (726-3769). I also stated that a1I information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
FOR OFFICE USE
Date of Application:JOB *:
Receipt lt Issued By:
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5.ooTotal Amount Co}leeted:
Checlccd for Delinquencies: Checked for llistorical Stattts:
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