HomeMy WebLinkAboutPermit Fence 1995-3-31
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225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
Job Location: 1.1103 rnP,J/IJ 51
Assessors Map #: 17 05 35 L.1/
Owner: Go-hQrcJ kess/o..v....
Address: .;tD 7 <J 5' H Wl/ , J..Co
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Tax Lot #: o87('JO
City: Noti
State: Ot<..
Phone #: 9.35 - olcl./'if
Zip: c;7'11D1
Value of Fence: ~ } 5'00, O;S'
Fence Permit is $5.00
Contractor/Installer:
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11 Wi , I ;Lip
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Address: ()...o7~5'
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C ty: NUT.
State: OR.
Phone #: 13." - D In tJ<;(
Zip: '!7<iCtoI
Construction Contractors Registration #:
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Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated 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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Signatv V
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3-3/-9S-
Date
FOR OFFICE USE
Date of Application: -;z - s 1- q 5
Receipt # DlLl g-l (P
Total Amount COllected:,j;
JOB II: QSo '711
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Issued
Checked for Delinquencies:
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Checked for Historical Status:
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