HomeMy WebLinkAboutPermit Fence 1990-10-4
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. SPR:IFIE~~'
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street Office: 726-375~ ~
Springfield, Oreg'on 97477 . INSPECTION LINE: 726-376~
Job Location: A4\~ \ ~h(\f)t(l~ l ~mLL <'
Assessors Map #:- \1\ O'?J8.<?\\-L\;- Tax Lot #: n\C)(Y')
Owner: !,i}O c,1'fj Su.)aV1~~h':,
Address: ZL/ 1.'7 fViLt,vc n-f() rzJ
City: ~v-; /Ijf.i p lei State: 0 {Z-
Value of Fence:J12-50. CV
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Phone
#: 14,ro - 'i(5f3 '
Zip: q7~77
Fence Permit is $5.00
Contractor/Installer:
City:
,----
State:
Phone II:
r
Zip:
Address:
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 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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Date of Application: \ () -4-C\U Jo~ #: Y 0\ Q \ LD
Receipt #: / &'=5/l 'IssueCJY: \ J-..ffi )
Total Amount Collected: ~~ <:)
Checked for Delinquencies: ~Checked for Historical Status: ~