HomeMy WebLinkAboutPermit Fence 1996-11-21 (2)
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SPRIN"GFIELD . ....,..... I, , '
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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: ~0 \ '~.,-,.J-'?L""'-S:- 'DR
Assessors Map #: I g 0-;:).., O(! 1-;)..... Tax Lot U: 66noc:)
OloTner: ~ C'l,,,,^-,, ~?U..\ c::.~ \ J., l"-'
Address: "2.. ,1-''',1''_ ~l~ NE- .c."~""",, Phone
City: \?G-tl~;~ State: i""Y17
#: 54 \ ~ 4~~ .-<,,(0&7
Zip: ct77~
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Value of Fence:___('~ I \, ~?
Fence Permit is $5.00
Address:
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Phone
# :(<5 'I/) 3 '73 -6'tOy
Contractor/Installer:
City: Cl,9<?,...\-c.'\=\..:=.. \'>
State:
Zip:
Expires: ;)-~.:::)-71
Construction Contractors Registration #:(J()~/xr~Lt1
By signing this permit/applica~ion, I ag~ee 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 IoTas provided loTith the Springfield
ent code requirements for fence staridards.
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Date
FOR OFFICE USE
Date of
Application: //- ;:)/-9&
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JOB #: C(50X]eo
By: _(). [)j{jfJjy RYln
Receipt
Issued
To tal Amoun t .CoHec ted:\11> 5. 6D
Checked [or Delinquf'lwies: ~
Checked for Historical Status:
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