HomeMy WebLinkAboutPermit Fence 1991-1-23
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street'
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Job Location:!ltNb Mr D!M{;fjj r-r
Assessors Map #:
Owner: I ,6r.h r:UMA1 P a (1/ILt!Jr5
Address: J I 7'1 ~/: 7e,- r Y' ,;[ r
Tax Lot #:
City:
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State: a r?
Phone 11: kJ5J?-6~9?
Zip: ??~.&~
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Value of Fence: $/977,00 Fence Permit is $5.00
ContractorlInstaller: Eyer?',,- e eF7 ~/.'"c::-e
Address: .3'?35----, )1/e8r //3!1:: Phone 11:?//.>5-c;&c:6-
City: E/QR-p~e- State: ~/?
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Construction Contractors Registration H: ::z. 7 '107
Zip: 977,c;:2-
Expires: 7 ??5/~__
By signing this per~it/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state 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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Signature
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FOR OFFICE USE
Date of Application:
Receipt 11:~
Total Amount Collected:
1-c93.Qj
Checked for Delinquencies:
Issued By:
S,OO
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Checked for Historical Status: '