HomeMy WebLinkAboutPermit Fence 1993-09-07\t
225 North Fifth Street
Springfield, Oregon 97477
PENCE PBRI.{IT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRTNGFIELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
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Job Location:/ -5 1{r) 2g
Assessors Map #:
Ovner:
Tax Lot #: 2AA
Address:
Ci ty: _L*r-,u
3sx PA*L U Phone *:3q)* AaaT
Phone *:?ql - zqq3
v-State:ok*Zipt
Fence Permit is $5.00Value of Fence:
Con t rac tor/Ins taIIer :
? ;CI,"n
/1111 IAddress:
Ci ty:jp{td CL q-7 qlZipt
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State:
Construction Contractors Registration *: ? 0 ff O Expires:?q
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 onthis application/permit is cor ct and that I vas provided vith the Springfield
Development code requirements or fence standards.
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s gnature Date
FOR OFPICE USE
Date of Application:e/2,/z t JOB *:
Receipt #Issued By:
Total Amount Collected:s.ry
Checked for Delinquene'ies:t/ Checked for Historical Status: