HomeMy WebLinkAboutPermit Fence 1990-7-12
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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
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Job Location: '"If.. '-1/_ Mil'.... ........"."....-
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Address: '-/olc...<;"
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Phone II: 7"13- 3~z."1
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Assessors Map II: 11 oz. 3Z- '-I ~
Tax Lot II: 'Z.oo ~ '!.c:>o
Owner:
:r~Ut4 \.1....1 A-,....,h
City: <;'!",-,h', C'.~, <">
State:
C>1t.
lip: 97'17R
Value of Fence: /I II. 90S" --
Fence Permit is $5.00
Contractor/Installer:
S'~\.I.", \.I....L......n1:) ~aoN.'Io.T. _ \""",__
Address: 19"'-l\ \.~i.".... ...T'....."'T""
Phone II:
City: oe;.D.B..h~.L.s::"l'P'l 'f"l.
State:
0..
Zip: "'I7'f71
Expires: -Lh.n /q-L-
Construction Contractors Registration II: '1(D01,
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 s andards.
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7 -/.0- 90
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FOR OFFICE USE
Total Amount Collected:
Date of Application: ~-I't~CfO, pJOb 11:_\CfDIYE</J4
Receipt II: 11/0 q1 Issued By: ml[)CL.J
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Checked for Delinquencies: ~
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Checked for Historical Status:
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