HomeMy WebLinkAboutPermit Fence 1995-8-2 (2)
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Job Location: ~~~$ 2?~~.crJ
Assessors Map II: /5E'.ttP::Z-c;::/tt::~
Owner: .~~ ~~~
Address: '? ~ y<ji/iJ' }2..L:.-'~""~
Ci ty: 7~Z;> State:
Value of Fence:~"'~
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Contractor/Installer:~13/&j ~r,,/f:..~
Address: -&oX"" 4' /7-=?2..
City: C~e:~ State:
Construction Contractors Registration #:
Office: 726-3759
INSPECTION LINE: 726-3769
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Tax Lot 1I:~9~
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Fence Permit is $5.00
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Phone II: q~y"""3:;>/C:::>
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/t:76' 7/"9
Expires:~-/'~~~
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I 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 ____
%1 ~_9'S-
Date
FOR OFFICE USE
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Date of Application:~-~-9S-
Receipt II
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Total Amount Collected:
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Checked for Delinquencies:
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Issued By:
JOB I: 9'5'/2?Y
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Checked for Historical Status: