HomeMy WebLinkAboutPermit Fence 1996-7-9
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job 'Location: tftf'A ~ F&/C-?(/tt~"
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Assessors Map #:,-t1!T-r::?::2 >C; c.r-c:r&>
Owner: "I<We:...cR... b€w& ~~ s -T,...-~" '"
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City: (!_Jt~~~ l! State: OIC.-"
Tax Lot #: ~?~
Phone #: ?5cr 5--- - q'7 f 7
Zip: '7 7/--/2 ~
Value of Fencefr l~DO
Fence Permit is $5.00
Contractor/Installer: "Kt v~~ &;:..;vc.c
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Address:
Phone #:
City:
State:
Construction Contractors Registration #: -rs-o 2-1
By signing this permit/application, I agree to call for ian inspection once my
fence has been constructed (726-3769). I also stated that a~l information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
Atl1t~.
Signature
"7. LJ,
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FOR OFFICE USE
Date of Application:
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Receipt # ~~~~
Issued By:
"JOB #: ~~~
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Total Amount Collected:
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Checked for De~inquendes:
Checked for ffistorical Status: