HomeMy WebLinkAboutPermit Fence 1991-7-22
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ,{I-?,S',r ~/tA"'"
Assessors Map #: /'7/57_ a, '2, 00
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owner:-.i1 /1l ?f,-~,.:,~,;-:
Address:<-:<,,~r M.4.,'~ fi'p3C.
Phone #:
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Tax Lot #:
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Value of Fence:' \~~~
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State: dP<7,.,""
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Zip: "7'><L '>..r;--
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City: Sft_,.~"",,c">,_/J
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Fence Permit is $5.00
Contractor/Installer: ~
Address: ~~
City: ~ --------------stat.e:
Constructi~ntractors Registration #:
Phone #:
Zip:
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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: ,7- 2?,-
Receipt #: ?A7t:" 7 Issued By:
Job #: 9/1) 9S'S9
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Total Amount Collected:
50-0
Checked for Delinquencies:
-
Checked for Historical Status:
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