HomeMy WebLinkAboutPermit Fence 1996-8-12
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SPRINGFIELD
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
Job Location: 4642 rnltltJ SJ'
Asscssors Map II: \1DZ- ?, 24-11.-
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Addrcss:~7X'';> IlIIJee.LlJfJUL ktJ-P.
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City: (;J6Ei.JC State: ~@~u
Tax Lot
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1I: Dn\rLJ
Owner:
Phone lI:.tg,,? ,qat) /
Zip: Q'7dLJ /
Value of Fence:,:JtY1'tJ,OO
Fence Permit is $5.00
Contractor/Installer: . t!ol'O!1t1
Address: f(j 13""" /CJ4133.
Ci ty: {jJ~f?}Jc
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1-'&iJ/1E' C6,
Phone
II: 3l/3 -tj& J,g
Zip: Q7tf.!J./').
Expires: fa... ~3j. /1"'ft
S ta te: ~ E!eJ!;/11-.J
Construction Contractors Registration 1I: ~i3 4q~tl1
lly signing this permi t/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permi t is corrcct and that I Yas provided
Devclopmcnt codc requirements for fence standards.
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Signature
inspection once my
all information on
yith the Springfield
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FOR OFFICE USE
Date of APPlication:. ~. \Q..-q (n W:~~1I: C\l9\\OT
Receipt II 'd~n - .,. Issued By:~fA/L\). -
Total Amount Collccted: .!;5.a.J - \J
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Checked for Delinquen~ies:
Checkcd for Historical Status: