HomeMy WebLinkAboutPermit Fence 1990-10-18CITY OF SPRINGFIELD, ORECON
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, 0regon 97 477
Offi ce:
INSPECTION LINE:
726-37s9
7?6-3769
Job Locat'ion : ] 181 S )'fu' Sf-
Assessors Map #:t7 0Z a;z4 Tax Lot #. 627 cD
owner , ?r: ft ltniY lr
Address , t {Ka .q, q 57 \s*-_11 , t.4
Phone #: /'1 /-0'3b7
City:*,.ti v\o,6 e,{.J State:r,l:)u'r-.-Z1 p:..T-
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Value of Fence:.AL-/Fence Permit is $5.00
Contractor/Instal ler: fitiln e (
City:State:Zi p:
Construct'ion Contractors Registration #:Ex pires:
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By signing this permit/application, I agree
fence has been constructed (726-3769). I a
this app'lication/permit is correct and that
Development Code req u'irements for fence standards.
FOR OFFICE USE
to call for an inspection once my
lso state that all information onI was provided with the Springfie'ld
.-t<: *f'Z-
De[egn
Date of Application:0-es Job #:
Rece'ipt #:Issued By:t-t,uQ-_
Total Amount Collected f,"'r,5D
Checked for Del inquenc ies: / Checked for Historical Status , y' -
Address; phone #:
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