HomeMy WebLinkAboutPermit Fence 1996-5-2
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: (80) {) fL'j/.\.. Sr
Assessors Map #: /7'2!!72' ~ ~ ~ ~ /
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Tax Lot #: ~~
Owner:
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Address: <r,~ ~5 <"'I ^'7"k..
City: 5Yf:,::f;p!j State:
Value of Fence: f 7 O()~ -/tJ{)O~.o
Phone #:
7"7-q~'i
747- etl/S-Z
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Zip: q 7'17,fj
Fence Permit is $5.00
Contractor/Installer:
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Address: 08 2fj &1t:ll'A ~r
City: LLJlrJ
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Construction Contractors Registration #:
Phone #:
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State:
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zip:----37L/7 A
Expires:
By 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 was provided with the Springfield
Development code requirements for fence standards.
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-'Signliture
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Date '/ ~
FOR OFFICE USE
Date of Application: 5'-..</-"'7""
Receipt # 2//-:./S-
Total Amount Collected: ~ ~e?
Issued By:
JOB I: 9h:::::>hSC:;-
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Checked for Delinquencies:
Checked for Historical Status:
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