HomeMy WebLinkAboutPermit Fence 1995-9-21
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225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
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726-3759
726-3769
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FENCE PEI\HI'l' APPLICATION
CITY OF SPRINGFIELD
BUIl.o;ING' 'SAFETY DIVISION
Job Location:
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Assessors Hap #1 \1DA. ?fi.4\ Tax Lot #:on~
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Fl \ ~'WUf\ ~1 Phone: #:~bB
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Contractor/Installer: C!"~~O f
City:
Value of Fence:
---
Permit is $5.00
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Add l'ess:
Phone #:
City:
State:
Zip:
--
Construction Contractors Registration I:
Expires:
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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 stated that all information on
this app tion/permit i c rrect and that I was provided yith the Springfield
\""'" '00' "d, "q"'" "~").'d"d"
Date
FOR OFFICE USE
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Date of Application: L-f . m .CQ<::::)
Receipt # \ C\ \Q\ .
To tal Amoun t Collee ted: J6.W
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Issued By:
Checked for Delinquencies:
Checked for Historical Status: