HomeMy WebLinkAboutPermit Fence 1990-3-12
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
~225 F,ifth Street
Springfield, Oregon 97477
Office:
INSPECTIDN LINE:
726-3759
726-3769
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Job Location: c2380
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Assessors Map #: IJO:2.,'2,L,Ll/A Tax Lot II: 0 130 I
Owner:~ c:y)~~ ~9::r~ Lrb
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Phone #: ?y,{ - ? 7..:<.0
Address: d(3~o /Y/o"':"'"
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Value of Fence: IJJ /1. lJ-O
State: ~~ Zip: 97Y? 7'
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Fence Permit is $5.00
Contractor/Installer: ~.~ ;:1Z~
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Address: . R 0 ~ .3(.,
City:~~~j
Construction Contractors Registration #:
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State:
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Phone #:J}/t - if.;? Y
Zip: 9'?$!'7'7
Expires: 1;;;-31-?O
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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
Development Code requirements for fence standards.
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FOR OFFICE USE
Date of Application: ~I I~\~"
Receipt #: \ t 0844" . ~ssued
By:
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Job #: OJO()'), S<<:.
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Total Amount Collected:
Checked for Delinquencies:
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Checked for Historical Status:,~
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