HomeMy WebLinkAboutPermit Fence 1997-1-22
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SPRINGFIELD
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: _~5'55 II'JAi!t?lYH.eI::l
Assessors Map #: J 7 ttJ.:!::>ODO- 0 ICf 00
Tax Lot #:
Owner: /rdlv ONe;/1
Address: 1i'5o V.o/4"~ AvlL
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City: ,....?F.I-l>. State:
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Phone #: 71'/- ~ If.n.r
Zip: ~74//";1
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Value of Fence: /SOO-
Fence Permit is $5.00
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Contractor/Installer: rAe-F,;'" I/A/A.Ey ("0,,:)7;
Address: 3~t' ~OD~ IANf:.. l:>~ Phone #: 7'1'1' B' B?
City: ~i>P/I>, State: o ;z... Zip: ~.,.y;)';)
Construction Contractors Registratlon #: /Oi>823 Expires: ~-~7
By signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
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Signature
inspection once my
all information on
with the Springfield
/-z,-,)1.;;1
Date
FOR OFFICE USE
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Date of Application: ) / 2-2.jq ~
() 2L( 3 &;r(
Total Amount Collected~ .()Q
Issued By:
JOB I: ct,7DIS J-
'if In ~
Receipt #
Checked for Delinquencies: nOh.l.,;
Checked for Historical Status: I1V/'L-L/