HomeMy WebLinkAboutPermit Fence 1994-7-5 (2)
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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: SJ.-I q f)/tt$ ~
Assessors Map #: II 0 2..3:)~
Owner: S ~t~ \,
Address: <- ~ I q
Tax Lot #:
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Ci ty: 41""0 'h'r::lJ....
Value of Fence: ~ {JC)O-Cl-C>
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State:
Phone #:
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Zip:
7o/J,<1( ? 7f
Fence Permit is $5.00
Contractor/Installer: 6\.l rs--e-~+
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Address: I{)/.s~ tit t rc>-~ Sn'u\-/~
City: rt..<...~~'E'
State:
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Phone #: Wl(-^J..~
Zip: '}7YO,,"
Expires: 4. f)2C{c:;
Construction Contractors Registration #:
Dy 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
Development code requirements for fence standards.\
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Dat~ .
Signature
FOR OFFICE USE
Date of
Application: , f\. \0 .g 4-
# \0(1<6' Issued
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By:
JOB 0Cf\01C.s
Receipt
Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status:
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