HomeMy WebLinkAboutPermit Fence 1997-3-24 (2)
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SPRINGFIELD
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifto Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:~l~~ ,ThL~() S/
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Assessor~p~ #: \1 roOd.~ '
owner:-:1&) (1- Qrld-frrntl nJI)
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Address: tJh3_c) J)a>>~ g
citn:JpriV Ute, Ou
Value of Fence: ) ,:)7)(j
Tax Lot #: f)1C\[)\
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Phone #: ji.JI-/33l
Zip: q 7[,/7'1
Fence Permit is $5.00
Contractor/Installer:~..1 ~ '
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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 stated that all information on
this application/permit is correct and that I was provided with the Springfield
D: ,ito t code requirements for fence standards.
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Sigilature
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FOR OFFICE USE
Receipt II
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Issued By:
#: C\ lD\-\-
Date of Application:
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Total Amount Collected:
Checked for Delinquencies:
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Checked for Historical Status: