HomeMy WebLinkAboutPermit Fence 1994-9-26
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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: 11i:)~ )LJL){(1
Assessors Map #: . /701. ~ 3 3 Tax Lot #: D I 2..t:){)
Ovner: ~e-1\-r;Ac\ Nr:,('O,\-eS
AddressJD2.t CIJS(' aAp_ Df'i\l-L Phone #: '-i../Y-9/oS
CitY:~('\NJ-~\-f'\~ State: 6~ Zip: cnYl ~
Value of Fence: 51 fcJ()O.C;CJ ? Fence Permit is $5.00
Contractor/Installer: e)hevt 1-10(a.fe')
Address: :\IrMr: IK 'ffI4JVY_
(t5w~)
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Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
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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FOR OFFICE USE
Receipt #
Date of Applicati~n: /'/').-(;,)5'4-
, f
/4- d! /04 J Issued By:
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5"/6'tf)
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JOB #: _ /"J4-/ ciBL
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Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status: