HomeMy WebLinkAboutPermit Fence 1989-12-6
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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: ;.JLj. flq '--rnt1A~ .s+
Assessors Map #: /1 D;l :'3 -::2 J,:}..
Owner:' i9-rc:tI'l+S lc1ndsca..f,nj
Address: PO 60i 'J:1-) .
City: ,c.,().{:-~ State:
I $ '00
Value of Fence: cQ(043.
Tax Lot#: of) ~
Phone #: '7Jjp'Y03c.t
o f2..- Zip: ql L/:- 77
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Fence Permit is $5.00
Contractor /Ins ta 11 er: d'Ji'€?-t1O YI
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Address: (;~S-q fJ .3.r-l1t
City: L:..O[:iA.
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Construction Contractors Registration #:
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Phone #: 14& - f'3 J-cf
Zip: Ony.7R
Expires: IJ.j,~ 11L7
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State:
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: l;)j(p IRc] Job #: r?q.J OL~
Receipt #: f.'?<f.CJ/ ", Issued By: ( k-~
Total Amount Collected: 5.(}() () -
Checked for Delinquencies: ~
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Checked for Historical Status: