HomeMy WebLinkAboutPermit Fence 1995-7-31
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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:'- ifr~9 {iIlS'L1-r6"A
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, Assessors Map #: /$-&!>'?..t:P 7'~
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Address: ~-O\ Bo-,<"' s-9 ?
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City: l" K~ ~e; 1./
Owner:
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Tax Lot #:~~~~
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Phone #: 9; '1S'-- -L( 9 f 7
Zip: 97L/~ G
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State:
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Value of Fenc#/ SOe::>
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Fence Permit is $5.00
Contractor/Installer: 42.-, lJ~Vl-
Address: r; 6) t 13.n ~ <:::-9 'S
CIty: r'/:tC?~'I/
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State:
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Phone #: ~ 9 ~';-'f <1 g-- 7
Zip: i'7c-{'Z.b
Expires: ''7/ 9/?6
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Construction Contractors Registration #: (c/---t:;"'"2-1
By signing this permit/application, I agree to call' for an inspection once my
fence has been constructed (726-3769). ~ also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
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Signature
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FOR OFFICE USE
Date of Application: ?......?/..9.~
Receipt # /,~/~
JOB #: ''9 ~ 3c:::$
Issued BY:r~
Total Amount" Collected: 5"."-........
Checked for Delinquencies:
Checked for Historical Status: