HomeMy WebLinkAboutPermit Fence 1990-3-12
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.SPR.FIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: Cf)~~ \\\'\\ 1.1\
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Owner: ~~\C ~ ~ -\- \ \.\ 10 N~ ~
Address: ~? 4 t\\\\ t XV t,',,,,)hone#: -(~\Q ~)"l\ ,
City: ~r\ \ ') State:, \ ~..-J Zip: C\1A:\D
Value of Fe~~:J \~~~C() Fence-pe'rmit is $5.00 '
Contractor/Installer: ~ ~ ~'\\O ~
Tax Lot
#: ()UO()()
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
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 standards.
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3-/2~ 76
Uate
, FOR OFF ICE USE
Date of Application: . ,~. \ ~ .C\C) .ab#: ~CD2..YO'
Receipt #: J CotS:). IS~m: C3JliX...-/
Total Amount Collected: 'fS .'
Checked for Delinquencies:
I ,
.,0" Checked for Historical Status:
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