HomeMy WebLinkAboutPermit Fence 1995-3-13
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: 'If/'ll ~/1" 0/.
Assessors Map jI: /7 ...~~...'3 <-"";1/
Owner: ~:... :1~ q..~
Address:
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State:
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City:~{~'p.J,
Value of Fence:~~
Office: 726-3759
INSPECTION LINE: 726-3769
Tax Lot jI: e>t::. y~
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Phone jI: 11/1- ;:1.3D I
Zip: CJ'1f??
Fence Permit is $5.00
Contractor/Installer: ~_ ~ t..o. L.
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Address: '? 0 \'Sox 2.6 Phone jI: 71ft:. -e? 2 r
City: ~tfl
State: ~
Construction Contractors Registration jI:_/o 39' 7:1
Zip: 'i7Y,?l'
Expires: 1-0'1
~y signing this permit/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.'
Sig~~ ~
FOR OFFICE USE
Date of Application: ~-~~~.c;-
Receipt jI /h 5~? Issued By:
Total Amount Collected: ~~
Checked for Delinquendes:
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Date
JOB jI: _ 9-?'4f1> 3/ob
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Checked for Historic~l St~t\1s: