HomeMy WebLinkAboutPermit Fence 1992-7-9
.
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
,BUILDING SAFETY DIVISION
'225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Tax Lot n:
03702
JJf.
M/t7N
Assessors Map n: 1'1/!/2 3~
MAc1L Moo~~
736S"
'Sr.
Job Location:
Owner:
State:
ox.
Phone U: 7~t:;. -rs~!.L
Zip: C;?~?~
Address: 75.!J ~ MI"t7~J
Ci ty: '5P~
s,
Value of Fence:
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Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone U:
City:
State:
Zip:
Construction Contractors Registration .:
Expires:
By signing this permitlapplication, 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
"""op"" ,od "~~'O'd"d"
inspection once my
all information on
with the Springfield
1"9 -91
Dat~ r
FOR OFFICE USE
Date of Application: 7/Q/'5' 2.
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Total Amount Collected: ~~c::.e.
Issued By:
JOB U: 9b'/'7~ / /)
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Receipt .
Checked for Delinquen~ies:
Checked for Historical Status:
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