HomeMy WebLinkAboutPermit Fence 1993-5-12
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 'lLt4~ f74LP (lli tdtJk t\{~ooh
A~sessors Map #:' ~f!-0?Aa31. . ,Tax Lot #: \(yyy)
Owner:"- ~iC\,\,{) ~~c::\-h~ \ \\~ 6 ~~~Stn<\\\ Q p )
Address: ?F\ ~~~ \ .~ \D1~ ,:S\\l~tU)hone #: r'\4- \ - ~ '1 ~0
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Value of Fence: ~\)\) Fence Permit is $5.00
Contractor/Installer: (\JW (\(LV
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By 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
Developm t code requirements for fence standards.
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Date
FOR OFFICE USE
Date of Application: ~ - \~ - q3 .~OB II: _C1 Mln4()
Receipt # A4{ 0 r Issued By: " l m )
Total Amount COllected:.' ~ (XJ -
Checked for Delinqul'ndl's:
Checked for Historical Status:
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