HomeMy WebLinkAboutPermit Fence 1989-12-29
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
Job Location: \'1C\ D \'\\C\ \ f\...; ~~ThnOr..J
Assessor~ Map Ii: \ ') ()~~l (}?J \
Owner: KT\ l. ~ ("leU m D i?-) ,
Address: \'4-n\J f\ \?J ~ /rh Phone Ii: "A-1\r9~CS
City",l''' ~'rn.+\,Ori\ st,t,~ (()~ O~f1
Value of Fence: \ ~,(X:::) Fence Permit is $5.00
Contractor/Installer: l l~ .l)(\Q R::)
Tax Lot Ii:
() \ ~CY)
Zip: q 0A'If}
Address:
Phone Ii:
City:
State:
Zip:
Construction Contractors Registration Ii:
Expires:
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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
D~nt Cod equirements for fence standards.
\ 3\(H I 11 1-\ 1;1 \ ~
signature-VI ua~e
, FOR OFF ICE USE
,Date of Application: \A )jq.PA' (~JObli:_~\ e-/i ><
Receipt Ii: L~I Dlo~ Issued By: ri\\ffi ),
Total Amount Collected: D ~ - - -
Checked for Del inquenci es: V
Checked for Historical Status:
V'