HomeMy WebLinkAboutPermit Fence 1991-10-17
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: -q;< ,/c> /") L Y.fij;Z>/c 5r-.
Assessors Map #: /7-.:P'2-ya.-~ Tax Lot #: c:>/9'2fS.
Owner:~fi'7t!?ftA1-c-D ~tlJ7<~~..c 5
Address: 74""2"2 C;:/L-y./J?~/C PhoneD: -?Y:/-b2/.si5
City: '3)7>rL.]:) State: C:>7{. Zip: .q7'7?~
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Value of Fence: ~~~. c>~ Fence Permit is $5.00
Contractor/Installer: ~~~~~
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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 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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Si9ffilture - . 1>
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Date 7?/
. FOR OFFICE USE
Date of Application: /~-/,=,_~/,
Receipt #: "2. /6< Co Issued By:
Total Amount Collected: ~ e:;>C>
Job #: q/~99-=;-
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Checked for Delinquencies:
Checked for Historical Status: