HomeMy WebLinkAboutPermit Fence 1990-1-24
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELO
BUILOING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
Northwest corner of 23rd &
Main IJQLf) ~
Assessors Map #: 17033642
Tax Lot #: ?qnn
Owner:
Address: 23rd & Main
Phone #:
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5orinafie1d Church of Christ
City:
SnrinafielrJ
State: OR
Zip:
Value of Fence:, $800.00
Fence Permit is $5.00
Contractor/Installer: Owners. 5orinafie1d Church of Christ
Address: 412 N. 12th Phone #: '726':'9797
City:
5prinqfie1d
State:
OR
Zip: 97477
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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Sigriature'
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FOR OFFICE USE
Checked for Delinquencies:
,1- f:J4 .QO Q ~ob #: qOJIQ()
Issued By: ~lf'(A /
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Checked for Historical Status:
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Date of Application:
, Receipt #: \~9; ~O(
Total Amount Collected: