HomeMy WebLinkAboutPermit Fence 1991-5-1
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELO
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-37~
726-37~~~
Job Location: &09 3 /Y7~ ~ ......":\
Assessors Map #: . \\ DQ ~34 Tax Lot #: n()(JoO
Owner: W~ A.cft&~~-1&~ L-.
;ii. Phone #: 0;Jb~ 2'/& <(
State: ()Jt:.. Zip: C/7 tl7g'
Address: (n {')q '5 Y)1 ,(1,'-':
City: ,~fI(()
Value of Fence: ~J. 17~t?
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Fence Permit is $5.00
Contractor/Installer:
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Address:
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 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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FOR OFFICE USE
Date of Application: ~- \. q \
Receipt #: \~ 0\~?1 Issued By: ~u\(\.C\.
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Job #:
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Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status: