HomeMy WebLinkAboutPermit Fence 1996-8-9 (2)
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SPRINGFIELD
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:Jj2fi\ \:n(\YJ(\h ~ \t9j\)\~ (~~
Assesso~~~ ~03 Tax ~ot #:111~~4
Owner: ':-- \.o.W't\ 'l\i '\\0 ~
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City:~ ')CJ{? ruL- State: ZiP:- ~14{J'
Value of Fence: "()~~ Fence Permit is $5.00
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Contractor/Installer: (\\\nt:\\~,. % J\ 0
Address \ l'j~~.~-~0tt-- )Phone #:. "
City: ~_D\O~~ > State: B\L Zip: l!.~~~
Construction Contractors Registration #: \0\\0\ \n EXPires~ffi U(p
By signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
DeveloP~~od~ r~~r~~ for fence standards.
4~'TJ-kJ-Y~~- ft
ature I -
inspection once my
all information on
with the Springfield
Date
FOR OFFICE USE
date of Application: 4-. q (:{(o
Receipt # ~\D~ iO Issued By:
To tal Amoun t C:l~ec ted: ?') P
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Checked for Delinquenci es:
Checked for Historical Status: