HomeMy WebLinkAboutPermit Fence 1989-12-6
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Job Location:
300 d.
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Office: 726-3759
INSPECTION OLOINE7:0 ~6-37~*
Tax Lot #: d-."
Assessors Map #: 11 0;;" '3 100
Owner:tsWULu, UL<.+U,P_
lA-Qo ~(X)o'~(~) 0 f " Phone #: 1~~~1, '2.04-
Ofm~C\t'r State: @fD(I~. Zip: 4113.<2;:
Address:
City:
Value of Fence: !3,(j-fjr),O-o
Fence Permit is $5.00
Contractor/Installer: lJ7~
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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. FOR OFFICE USE
Checked for Delinquencies:
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Issued By: P/~
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Checked for Historical Status:
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Date of Application:
Receipt #: ){..o,DOy'
Total Amount Collected:
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