HomeMy WebLinkAboutPermit Fence 1991-12-5
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SPRIN~.LD .
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING 'SAFETY DIVISION
225 Fifth Street.
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769'
Assessors Map H:
owner:D~b~L-e..~", 6 e.v-d-e":"')
L\-I 6l.u' MQ,\0.. Sf:
If 62- ~2-)~
Tax LotH: . 6 ( \ D1)
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Job Location:
Address: L-\ l D <0 MCJ-.:~~ Sf-
City: Spfl d . State:
0'
'tPO
Phone I: 7zg, .1?2./.Z.
tJf2- Zip: Q7t.f7'6'
Val ue of Fence:
Fence Pennitis $5..00
Contractor/Installer:
[) w 1r\.Q;V
Address:
Phone H:
City:
State:
Zip:
Construction Contractors Registration I:
Expires:
By signing this permitlapplication, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all infonnation on
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
~~L~Ju.." Q . .' ~ 1 L..ACh---.
Signature
17 - S ~q 1
bate
. FOR OFF ICE USE
Date of Application: 17.--JiSlq ('
Receipt I: ~7.Jl"'?-' Issued By:'
Job I: .
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'Cj fli.{ 2-~
Checked for Delinquencies:
C;.6D
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Checked for Historical Status:
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Tota 1 Amount Co 11 ected: