HomeMy WebLinkAboutPermit Fence 1991-12-31
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street'
Springfield, Oregon 97477
Offi ce: 726-3759
INSPECTION LINE: 726-3769
Job Location: r:;,S bg ~r"T7'/f',)
Assessors Map If: 11. m-"3LI:'c..\"- ~ It)--,)
Owner:' .('" ,"":'itl-. I. ... 12.,-, 'i2. e.. iC
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Address: foSb i.( mA-l~ <r
City: 51>;: 'jJ State:
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Tax Lot If: Lt'1.00.
Phone If: 7'11 -t;;;J.~r
0'2- ' Zip: 97'11Z-
Value of Fence:
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Fence Permiti s $5.00
Contractor/Installer:
Ctu:tJO<.
Address:
Phone If:
City:
State:
Zip:
Construction Contractors Registration If:
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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Signature
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Date of Application: /2 - S ~ '5'1 ' Job If: . '7//~/0
Receipt If: 3..23 \ Issued By: (~ ~/.I./
Total Amount Collected: r:::;-cnf) U .
Checked for Delinquencies:
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Checked for Historical Status:
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