HomeMy WebLinkAboutPermit Fence 1995-9-25
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILD;J:NG' 'SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: //?/c:.. /'?L .s.:/h.~/C W.
Assessors Hay #1 j?""/:9?-<b- s..---......... ,. Tax Lot
Owner: s(f'~V/C$ L. ~/~~:_~~~~
Address: /0/6 ~~..-'....,=:. C ?_ Phone
City: ""'5~~ State: ~~_
#: ~%"C>---'
#: ?~)-~y~
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Zip: "/./ " ""'_~
<9 ) 7" ;>':/
Value of Fence: ~~
Fence Permit is $5.00
Contractor/Installer: ~~~ ,~~~-
Address: /t/P W ~~~~..;.r- Phone #:
City: ;;~D State: r L-S,
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Construction Contractors Registration ft: ~~ ~~
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Zip: ~':/9""":::>7
Expires: ~~~
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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
Development code requirements for fence standards.
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Date
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FOR OFFICE USE
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Date of Application: ~--Z 7'~5'
Receipt ft /.,/'/~
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jOii #: 97./.;;-~ ~
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Issued By:
Total Amount Collected: ~t>t:7
Checked for Delinquend es:
Checked for Historical Status: