HomeMy WebLinkAboutPermit Fence 1990-8-31
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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: LJ4)?q fl7/J,!/J S;r-
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Assessors Map #: f70Z/ "32-Lf 2-
Owner: rin--t 6rp hOj'~ ~V\)
Address: LfY'l9 rnrill'l 8t.
City: Sprlrl3F;eJd, State: OrL
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Value of Fence: :;;:DS:,'
Tax Lot #: On cf 0/)
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Phone #:
7 zro -59(07_
Zip: q 74 7k
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Fence Permit is $5.00
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Contractor/Installer: f)y("v,()V)
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Address: Pn h()\('"2.,{.,
City: ~rlv1fe /1":/
Construction Contractors Registration
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Phone #: 71./ to - 8.32 L)
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Zip: Cj 7477
Expires:_I2-',;Si ,Cjr)
State: n/Z..
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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 App 1 i cat i on:'i? ~~I - '1 ()
Job #: Cjo IOXz...
Receipt #: \~ \90 Issued By: CI,1'1^t;L,
Total Amount Collect~d:jtt),()~
Checked for Delinquencies:
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Checked for Historical Status: ,/,