HomeMy WebLinkAboutPermit Building 1996-7-3
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SPRINGFIELD
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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:
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Assessors Map #: L/ I I Tax Lot #:
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Address: $-/0 S- ;:s- n--'~c'-d-
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Ci ty: ~a State:
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Owner:
~ TPhone #:5~-~ 51/
Oq.~ Zip: 0;74 '? 8
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Value of 'Fence: 1::;- (J .~- ,
P.. t:lb..e _ r IVI CC
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Fence Permit is $5.00
Contractor/Installer:
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Phone #:
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Address:
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Ci ty:
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State:
Zip:
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Construction Contractors Registration #:
Expires:
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By signing this permit/application, I agI:"ce to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Oevelopmen code requirements for fence standards.
~ure C/
inspection once my
all information on
with the Springfield
7~-3
- 96
Date
FOR OFFICE USE
Checkcd [or Delinquencies:
5.001
~
JOBi:C]&OC;03
Issued By: n. OY>C;c.h0d-a
Date of Application: 7,-- 3 -9~
it Od;;t335
Receipt
Total Amount Collected: \.t
Checked for lIistoricCll Status:
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