HomeMy WebLinkAboutPermit Fence 1993-3-4
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
'225 North Fifth Street Office: 726-3759
Springfield, Oregon 97477 INSPECTION LINE: 726-376'1
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Assen;.;: ,:~ \.fJ n~~1. \ \ ~ . Tax Lot #: Olo ~..ED
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A~drE!SS:. ." ---ro~ Zit','''' Ph~e #:~oRK- (0 ~Cf1
Clty: ~o_ St~: -(1JD ZIp: qr;4:{)rf/
Value of Fence: /400, oCJ Fence Per;ni t is $5.00
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Contractor/Installer:
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Developmen t code requi remen ts for 'fence standards.
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FOR OFFICE USE
Date
Date of Application: ,~ .4 . Cf~
Receipt # IJ I rf10 cO
Total Amount Collected: .s-.
Issued
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Checked for Delinquendes:
Checked for Historical Statns: