HomeMy WebLinkAboutPermit Fence 1996-08-24t-,^t
SPRINGFIELE)
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rENCE PBRHIT APPLICATION
CITY OF SPRINGTIELD
BUII.DING SATETY DIVISION
Office:
INSPECTION LINE:
726-3759
726-3769225 North Fifth Street
ipringfield, 0regon 97477
Job Location:0{#sT
Assessors MaP *:t1 03 b btL.{ 11 l0o s:Tax Lot
0wner:
A<ldress:aS s,Phone t:,16
S ta te:Zip:
Phone it:
Zip:
Er'pires:
te
FOR OFFICE USE
JOB {:
fssued By:
-oa f-f
Value of Fence:,o0 Fence Permit i-s $5'00 j
Con t rac tor/Ins taller :o W-/@Y*
Address:
Construction Contractors Registration ft :
S gnaturc
lly signing this permit/application, I agrce to call for an inspectlon once my
fence has been constructed (726-lleg>. I also stated that all informatlon on
this application/permit is correct and that I vas provided vith the Springfield
Oou"fopntotrt code requirements for fence standards'
Date of Application:?-u-
Rcceipt il
TotaI Amount CoIlected:
Clrcckccl for Dclinquenci e.s:Check.ed for Ilistorical Stattrs:
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