HomeMy WebLinkAboutPermit Fence 1995-9-18
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FENCE PERMIT APPLICATION
CITY 01' SI'IUNGI'IELD
llUILD;ING' 'SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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As.sessors Hap till g-' 62- 05 2.. \
Owner: ~ (I J~ Kl FJY\OST&IN
Address: P:o. 6o'-J. 3e-fG?
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Job Location:
Tax Lot ti:
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Phone ti:
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State:
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Zip:
Value of Fence:
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Fence Permit is $5.00
Contractor/Installer:_(Y) p d..gDP 1 ~
Address:-V.O. f:::;o'f.. (0 I n
City:N\ Ill'-(li"\\ ~ State:
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Phone ti:
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Oqk!.l L -=>_ .Expires:
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lly 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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Signature
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Date
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FOR OFFICE USE
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Date of APplication:S I j i I qs
Receipt II {J/Cj 057
Total Amount COllected,At~ CfU
Checked for Delinquend~s: . /
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Issued By:
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Checked for Historical Status:
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