HomeMy WebLinkAboutPermit Fence 1995-2-28
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Job Location: "'C:? 79 ~~r;;tY .-5;;,-::~..;:-
Assessors Map #: /Si?-.t::>C?-ot;;:~/~ Tax Lot #: ~ ~~
Owner: j)",,;.j)??kS"' L"~./AtA7 /" ~~<:"~
Address: "5~,,'?u5-- Phone #: 7 sL~- "3':s-g ,/'
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City: ...s-~~ State: ~/"? Zip: ~ '7 <=r?~
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Value of Fence: -Z--~.:::>_ ~
Fence Permit is $5.00
Contractor/Installer: ~~~~~
Address:
Phone #: :;
City:
State: Zip:
Construction Contractors Registration #:
Expires:
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~y 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
Developmen t code requi remen ts for fence standards.'
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FOR OFFICE USE
Date of Application: ~-~~c;--
Receipt<< /h ~O
Issued By:
JOB 1I: 95'f!?:? yS'
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Total Amount Collected:
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Checked for Delinqup,ndes:
Checked for HistoricRI StRtuS: