HomeMy WebLinkAboutPermit Fence 1990-10-17 (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: qofoD Y(A(Su ::t:J:~ I
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Assessors Map #:
Owner:' ~rs. \JJI tin ~j ..:JY..
Address:.?6:>~() 1)/1~"" j ,<r- ::U=X!
CitY:~Jfu (rf State:
Val ue of Fence: 470 - Cr),
Tax Lot #:
Phone #:~ -~ 757
{)f2- Zip:j7L{1J:
Fence Permit is $5.00
Contractor/Installer~ 1:'';)1 f:_. I _ I ;l-J.l'll~ QlJ)VlP.lY
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 state 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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Signature ( / ...
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Uate
. FOR OFF ICE USE
Issued
Job #:
BY:~
9 () l 2-103
Date of Application:
Receipt #: 1~5,~q
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Total Amount Collected:
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Checked for Historical Status:
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thecked for Delinquencies: