HomeMy WebLinkAboutPermit Fence 1989-12-29CITY OF SPR"UGFIELD, OREGO'V
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
!SPF!t{GFIELD
Offi ce:
INSPECTION LINE:
225 Fifth Street
Springfie'ld, Oregon 97 477
726-3759
7 26-37 69
Job Locat'ion : I
Assessors Map #:
0wner:
Address:
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State ffe
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Tax Lot #:
City:(
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vat ue of Fence , -l 5D 86 Fence Perm'it is $5.00
Contractor/I ns tal I er :Larr 4 d u.--v,
Address , /f{/ )1 r Phone *: 22 t Z{ 7 /
City:reU State | fu Zi p:
Construction Contractors Registration #: Exp'ires:
By signing this perm'it/app'liqq!'i01, I agree to cal I for an 'inspection once my
fence has been constructed (726-3769). I also state that all informat'ion on-this application/permit is correct and that I was provided with the Springfield
Development Code requ'irements for fence standards.
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gna ure
Date of Appl i cat'ion :
Receipt #:
Total Amount Co'l I ected :
FOR OFFICE USE
Date
By
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Checked f or Del 'inquenc'ies:
Iss
Checked for Historical Status
Phone #: