HomeMy WebLinkAboutPermit Fence 1996-1-17
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors Map II: /7.1'2. :3 2. ~2..
owner:~ '.a.- :t~ "'~L-A
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City: r~ /'.~
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Value of Fence~ '//~ .oP/
Job Location:
Tax Lot II:
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Address:
Phone
II: '11/1- ,;{3f> (
Zip: Q'1'/1 ~
State:/'l,r--rJ...,
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Fence Permit is $5.00
Contractor/Installer: ~~
Address: fl. 0 ~ J.i>
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City: ~~;t;.t7.JJ
Construction Contractors
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Registration II: /D ?"f'1..3
Phone II: 'IV" - g:> 2. f
':'::""Zip: &71'111
Expires: '\:lA.c.. 96
By signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Developmen t code requi remen ts for fence standards."
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inspection once my
all information on
with the Springfield
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Signature
1//7/9,6
Da te I
FOR OFFICE USE
Date of Application: l/7(JfP
Receipt II -::2-t!!JO 15'
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Issued By:
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Total Amount Collected:
5,#'
Checked for Delinquendes:
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Checked for Historic"l St"t\lS:
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