HomeMy WebLinkAboutPermit Fence 1995-10-13SPIIINGFIELO
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I'IiNCIi T'IIITHI'T AI'PLICA'TION
CITY 0{. SPt(rNclrrlll.D
I}UILDING SAI,I.:TY DIVISION
225 North Flfth Street
Springfleld, Oregon 97477
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INSPI}CTION LINE:
726-3759
726-3769
Job Locatlon: J4 1 n).<<v1 nl,,
Asscssors tlap llr Tax Lot ll:
Ovncr:
Adclrcss z Pn &o,t, A4b k Phonc ll: Lf4'D
zlp:qCl ty:fitaeAn-Statc OE
Valuc o[ Fence:Ircnce Pcrmit is $5.00
Con t rac tor:/Ins taIIcr :
Adclrcss ' e)(LlyV.-
,y'* /)t,nn I rln 4rr,/-
Phone lt:
Cl ty,Statc!zl p:
Constructlon Contracrors Reglstratlon ll :-Explres:-
Dy slgnlng thls pernrlt/appllcatlon, I agrce to call for an lnspcctlon oncc my
fcrrcc has bccn construcred (726-3769), I also stated that all informatlon on
this applicatlorr/pcrmlt 1s correct and tlrat I vas provldcd with tlte Sprlngflcld
Dcvclopnrcrt t codc rcqul rcmcn ts f or f cttcc s tandards
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FOR OFFICE USB
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Date of Appllcatlon:
Rccelpt ll /7zz?
Tota1 Arnount Collccted: S,a
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Issucd By:
t Jori tt:
Clrcclrcd f or Dcllnqucncl cs:Clrcck.cd for llistorical Status:
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