HomeMy WebLinkAboutPermit Fence 1996-11-12
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Locatio~:lo~~\P ~~f\ ~~
Assessrs~ Map #: \0:~CA4-\
O~ner: 'C10pU y \.l\O1 i\oi ~~_
Address:).Q"l:f1' ~ f{)l\,iI\ )/1AQa1l Phone #:f1r\'Chm-
""~ pI rjJ rD """ 10A lDfD-"P , L\l'\-~
Valu~ of Fence: ~, Fence Permit is $5.00
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Lot #:-Mto
Tax
Contractor/Installer:
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
Oy'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 ~as provided ~ith the Springfield
Development code requirements for fence standards.
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Signature ~~"\ -
11- /2 - 71
Date
FOR OFFICE USE
Date of
Application: \ \.Yl....-C\t()
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Checked for DelinqllPnri 0.5:
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Issued By:
~B #: ~\n\~c\~
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Receipt II
Total Amount Collected:
Checked [or Historical Status:
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