HomeMy WebLinkAboutPermit Fence 1991-8-15
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Job Location:
3001 MD1rv
Assessors Map #: \, (\~.94A.
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f 0 .i ~oK 450
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Office: 726-3759
. INSPECTION LINE, 726~
Tax Lot#:~ flD-1 .
Owner:
City:
State:
Phone #: '141- J./- 30 I
Ole- Zip: q 14-11
Address:
.t- Q!!.
Value of Fence: .3,000
Fence Permit is $5.00
Address: .pO
City: ~4:l~
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.!l:,of.,.. 45(;,. Phone #:
State: are....,
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'141, 430 I
Zip: c1"74-'7'7
Contractor/Installer:
Construction Contractors Registration #:
o\).J\,\V<'"" 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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Uate .
. FOR OFF ICE USE
Receipt #: '2 '-1l..1 0
Total Amount Collected:
Issued By:
<;j.S~
Job #:
~(<:>r'&-
ell 0 951
Date of Application:
3-IS-QI
Checked for Delinquencies:
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Checked for Historical Status:
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