HomeMy WebLinkAboutPermit Fence 1994-8-18
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office,
INSPECTION LINE:
726-3759
726-3769
Job Location, .r~f'1
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Assessors Map #, Tax Lot #:
Owner: -;;(/(!.;hIJ',D....:::JAh'I PlJt-
Address, I"{)/i) ~1P.exx!e:: LA). Phone #:
City, IS~#/I/ State, Ofl Zip, '''I7,;;}/'?;
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Value of Fence:
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Fence Permit is $5.00
Contractor/Installer: E~/l!- /J?~
Address: 7o.r Jt>. ~
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City:
State,
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Phone #:
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Contractors Registration #,
Expires:
:;y signing this permit/application, I agree to call for an inspectiOli 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 ~:pringfield
:d;;'O~}~;?O' f'.~ ",.dud,. 0", P. 17- 9</
FOR OFFICE USE
Date of Application: 15 - l<b -1(4
Receipt # I L-( 37_'3 '
Total Amount COllected~~ (~
Checked for Delinqllendes: "1 ~
JOB 1I, QL{/Z7[)
Issued By, ~
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Checked for Historic"J. St"tllS: L--