HomeMy WebLinkAboutPermit Fence 1991-4-8 (2)
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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: oulaD \')(\i~ -U- ~
Owner: ' ~\1\i..~~ \\\C\"'()\~
Address: . SW \'0. t"[)q ~~ Phone I: 14~ --,,"~(Q./
City: ~J-,- \ .' sta!il-ilvLO . Zip: Cf!1f..f)8
Value of Fenc1) - (~~ .ciJ Fence Permit is $5.00 )
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contractorlInstaller:1J JDnQ!)(l. 6ln\-f)IV'~
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Address: \ 1\ . Nn ~ m . . 0S1.. Phone #:\4(0 Q 17 ~
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'lJ!),-- "State: .-J Zip:
Constructio Contractors Registration #: ~~~ Expires:
City:
8y 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
th,is application/permit is correct and that I was provJde-a with the Springfield
Development Code requirements for fence standards.
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. FOR OFFICE USE
. Date of Applicati~n: , 4.R q ~ dob ~:--G I 0395
Receipt #: \ qlo~() Issued 8y:( '7"1~.~ '
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Total Amount Collected:
Checked for Delinquencies:
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Checked for Historical Status'
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