HomeMy WebLinkAboutPermit Fence 1996-12-2
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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
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Assessors Map II: /703:<1 L(:J
Owner: IJl1tlt, jtJf+Yi//l ~
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City: Spvid~Jri
Value of Fence: I;) L/7
Con trac tor/Ins taller: (!hulIl1 tJJ1}vt
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Job .Location:
Tax Lot
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Address:
Ave
Phone II:
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Zip:
q7Lf77
State:
Fence Permit is $5.00
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Address: L(f~1
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Construction Contractors
Phone II:
'State:
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C; 002 L/
Zip:
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Registration II:
Expires:
By signing this pernd t/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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FOR OFFICE USE
Date of Application: ,/;; -:1-CfCc7
Jon II: f/&! &rJ2;
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Receipt II Iisued By:
Total Amount Collected:
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Checked (or Delin'll1pnries:
Checked for lIistoric<ll Status: