HomeMy WebLinkAboutPermit Fence 1993-4-15 (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
Owner:
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Tax Lot #:
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Job Location:
Assessors Map #:
Address:
Phone #: 7 '/r-:: -?~:2.&>
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City:
State:
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Zip: ~.?7C??>
Value of Fence:
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Fence Permit is $5.00
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contractor/Installer:~~,~ ,~~~.~
Address: p t7. .8'.9Y' /&~3
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Construction Contractors Registration #:
State:
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Phone #: ?y'3-q?2~
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Expires: /- '2 ~9~
City:
By signing this permit/application, I agree to ~all 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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Signa'ture .
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Date
FOR OFFICE USE
Date of Application:
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Total Amount Collected:
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JOB #: q':3~Y9?
Issued By: ~ ~ '
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Receipt #
Checked for Delinquencies:
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Checked for Historic~l Status:
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