HomeMy WebLinkAboutPermit Fence 1992-5-19
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
nun.DING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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Assessors Map 11: PI1__ 73 sid".,. Z~ I tl4d _'1'/2
Owner: LOre? /.f m. ---LJAilL
Address: 1tj';{j2 IJIJcJbha l-I cf.
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Value of Fence: .J:13L:;.-:9-
Tax Lot
\"1 O~)l 13
#:.3'7
07'500
Phone
"7f,7<3.:'J"*
Zip: f7f7i
State:~R.Pr;Of/l
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Fence Permit is $5.00
Con trac tor /Ins taller: /JI../ IP I C.
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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
Development code requirements for fence standards.
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..Date
FOR OFFICE USE
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Date of Application: S-)0 ,0-;).
Receipt # W/D:l
Total Amount Collected: ~.ct>
JOB II:
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Issued By:
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Checked for Delinquenci es:
y
Checked for Historical Status: .x
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