HomeMy WebLinkAboutPermit Fence 1990-11-14
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.sPRIFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 4 ~ \\ 'N\~ S\j\Q\J t
Assessors Map #: \ \ l'fd. ?J~ 7-{;l Tax Lot #:
Owner: \i\~ r.o f\t:1 0 h\ Qf)t) Ll\) d
AddresK ~D~ c~\J..") ~hT1\5 ~"Q~eld
City: \(()(-t\0J\~ -St:te: CCl\ \) ~tr' .Zip: C{,A Q.S
I')S r;J.J Fence Permit is $5.00
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Address: \J, (). \2-;'Y.. K Phone #: "1 ~_\; 'CA4l
City: ~~^t1.. State: (~. Zip: q14l7
Construction c~ractors Registration#: Lo \ 2JJr Expires: ~ f;li3ljq I
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,or
Value of Fence:
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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FOR OFFICE USE
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Date of Application: ! ( .- 14~q 0 L-flOb-lJ: q 0 \ 01 ?; .
Receipt #:J S-7~3~ Issued By: r:JJ I /jo. _)
Total Amount Collected: ~. 60
Checked for Delinquencies:
(_____ Checked for Historical Status: (