HomeMy WebLinkAboutPermit Fence 1996-6-27
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: (;,LI2?4
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Assessors Map 11: /7LJ2. '3 t' 7:/
Owner: 1~""1T'j ;-hr)L""v
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Address:_ ~ 7c) /e;,.......
City: _c::.Pv-:V->L.
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Value of 'Fence: / &X)
State: /iVr='
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Spn~NGFIELD ___ [l
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Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lot 11:
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Phone 11: ")?-(,I. =? rO ~,~
Zip: q 7L/ '/ )?
Fence Permit is $5.00
Con t rac tor /Ins taller: (',06 11'1_,.,-<
Address: ({;4~L/ mCl,'!/)
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City: <.'Pv-; ''7~ State: /')Y'~
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Construction Contractors Registration 11:
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Phone 11: 7 4 / )?qc:? '3
Zip: q '74'7 J?
Expires: _
lly signing this permi t/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.
Signat&46'7~
FOR OFFICE USE
Date of Application: ~h0('~
Receipt II "7 ':).. '2-<:,.4 Issued By:
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To tal AmoLln t Collec ted: r:;:,t>O
Checked [or Delinquencies:
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Checked [or lIistorical Status:
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Date
Jon 11: ,510 ~ ~0?
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