HomeMy WebLinkAboutPermit Fence 3-3-5
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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: 76 ? ~~T2::/~
Assessors Map #: /;:> -o~ -1' S~ .:??
Owner: 75 .l?~;;'E~<: ~/~ ~~-;;::>.
Address: ~.22 ~d./r~~/ ~........>---_ ~_ Phone #:
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Tax Lot #:
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City:
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Zip: c:?-;;q'::>8-
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Value of Fence:
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Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an
fence has been constructed t726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for !ence standards.
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inspection once my
all information on
with the Springfield
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Daty
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FOR OFFICE USE
Date of Application:
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Receipt #
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Issued By:
JOB #: e9 ?O ";? 79
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Checked for Delinquencies:
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Checked for Historic81 St8tUS: ~.
Total Amount Collected: