HomeMy WebLinkAboutPermit Fence 1996-4-12
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FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: C:::;%J ~//tJL/5
Assessors H~ #: /7cJ3,;Jd tl/
Owner: ,,)YC4'/?;1? /Jyp
Address: -:T-2~. 7X!J/6(, ~W Phone #: y.?%j::?#4
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City: . ')P.t0 State:~/? Zip: ~/J?j7/
Value ~~ence: ~~~~ Fence Permit is $5.00
Contractor/Installer: /'v1e~f?;~ ~e
Tax Lot
#: /J~
Address:
Ci ty: ~J4:/ k
Phone #:
State: (')/~ Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree
fence has been constructed (726-3769).
this application/permit is correct n
Development code requirement f
to call for an inspection once my
so tated that all information on
was provided with the Springfield
dards.
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Sig~e ~
~~
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FOR OFFICE USE
Date of Application: t/ -/2-~
Total Amount Collected:
5:~
JOB I: "7h<:?S..::::J"/
Issued By: ~~_
Receipt # '2/~$6S-
Checked for Delinquenci es:
Checked for Historical Status: