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: .1.CJO -l- ?S<-J
Assessors Map #: i I 0"32 L -.::>., 1
Owner: tZ-ICWM-d +- ski V -f-Lj r tJilwv'/ 0 V
Addr~ss: ~I c..:::<.C--., R l\~ur~rk J::r. Phone #:
p IW~AJl-h\-Cf State: ~
Value of Fence: Lfoo.. CiJ
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Tax Lot #:
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City:
J01-777~
Zip: q 7Lj?jC:,
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Fence Permit is $5.00
Contractor/lnstaller:1)UU'~
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
Developme / ~~ear:~ir~: .:~r ~ence standards.
~ (~ty}vv'd1 5-IP-~=?
~ Date
FOR OFFICE USE
Date of Application: 5-12--13 r J~#: Qaof'o:::<..9
Receipt # A\t ()1_ Issued By:~l flo..J -,
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Checked for Delinquencies: ...,/' 'Checked for Historical Stat\ls:
Total Amount Collected: