HomeMy WebLinkAboutPermit Fence 1990-7-20
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ! / L/ 7 tJ1?7""" <:J-r
Assessors Map II: \ \\(Y33S4 \
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Owner ,0J~ r-cl/ .4-/< D f/ /' /f /T
Address: /.2 It! /Jj t! I''-? 7//<..C:;'/ , Phone 11:/',{,6'/.:3 :;,z
City,>::_ ~P/-:.O State: 8X/z-- ZiP:,?, 7 -f 7f;?
Value of Fence:;/j X{){), 00 Fence Permit is $5.00 ,-(
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Tax Lot II:
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Address: L-I 9"< 9
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Contractor/Installer:
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Phone II:
fa 99- (j'/2r
Zip: 9/c/;)~:)
Expires: ~ 5?-?1
City: p" e. ""'" '-
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Construction Contractors
State:
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Registration II: ;;;, /jl) VJ d
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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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'Signature
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,e'Date
, FOR OFF ICE USE
Date of Application: ~. ~~. ~()
Receipt II: l [liLt Issued By:
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Total Amount Collected: ~
Checked for Delinquencies: ~ Checked
Job II: q()nq / ~
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for Historical Status:
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