HomeMy WebLinkAboutPermit Fence 1994-6-20
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SPRINGFIELD
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: KJ:1 \ \\0\ 00 r \ ~ A Y1 Q'OJ 1J F/lp
Assessors ~ap II: \V)(')~~ ~ . Tax Lot II: C~rAUJ
Owne~ ~J ~9.( .,S"~tl u h ~ .
Address: ~'\5{S(O ~aHl0 1J _ Phone II:_'YI-k( Wlp
City:_~ l~ - State\0 L ~ Zip: [PI4f5
Value of Fence:~~cX:) ~nce Permit is $5.00
Contractor/Installer: ~Q R l1'\ 0 ~
Address:
Phone II:
City:
State:
Zip:
Construction Contractors Registration II:
_Expires:
ny signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.'
/! ~ r/Y
~ure - FOR OFFICE USE
inspection once my
all information on
with the Springfield
6' ;J.-o" V
Date
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Date of Application: \.Q .1..D qL-
Receipt II \?fj( )
Total Amount Collected: ,8~
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7
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. J~OB #: q 4rn I()
BY:~J'O ./
Issued
Checked for Delinquendes:
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