HomeMy WebLinkAboutPermit Fence 1992-12-11
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 11/ /J~/I
Assessors Map #: { r; (}~':J43
Tax Lot #:
Owner: f?ouJEil Ii'EII/ ~<:;1Afi:
Address: 1?5"?o 5. w. 8/1.e6ltL
City: ?.., I!' I/.. fill/.l
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Val ue of Fence: /5((1 "3-
(;.eo u, (0
s.. ,re 1T .i'oS Phone #:..<'1.6 - /5~o
State: /JIZEIDIV
Zip: Y'72-1'l
Fence Permit is $5.00
Contractor/Installer: f7te.Fctr>- ~E.vc-e 6:"
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Addres s: \? 0 6.0,.: 3 <;
City: Sr (...I.
Construction Contractors
State: 0--
Phone #: . 7(ih' tf 'U_ 'f
Zip: 'f'7'(?~
Registration #: (1I1C,t,
Expires: ~ tlJ
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on
this application/permit is correct and that I was provided with the Springfield
Development Code requirement~ for fence standards.
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Signature
/ z./ // /'1 z---
Uate
. FOR OFFICE USE
. Date of Application.: //1, / (. 9'~ ( jJo,b #:
Receipt #: '7005 Issued By:C"/\&'Y1}
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Total Amount Collected: -.; ).
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Checked for Delinquencies:
Checked for Historical Status: