HomeMy WebLinkAboutPermit Fence 1990-1-26
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 1~C::;;>/ r:?v-,'SI'cMtIJ-
Assessors Map II: I1'D53 ':)L/ -,},2
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Tax Lot II: ()I{Q.()O
Owner: +- 1?11"Y? "'1---<--, n-T1>'l7
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Address: ~/
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State: eJ62-- Zip: '1'7~O
Value of Fence:
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Fence Permit is $5.00
Contractor/Installer:
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Address:
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Phone II: '~C;;--i?~..~',::;,
City: t:5~ I e:"P-
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State:
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Zip: ?)'7<f02..-
Expires: J, ;)~-q 0
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Construction Contractors Registration II:
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 requirements for fence standards.
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Signature
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, FOR OFF ICE USE
Date of Application: J~ ~ -0 u
, Receipt II: ~ Jf3Zf1 Issued By:
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Job II: C[(j 0/ .? 3_
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Total Amount Collected:
Checked for Delinquencies:
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Checked for Historical Status: