HomeMy WebLinkAboutPermit Fence 1995-6-20
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
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Assessors Hap jl:1/6~ 7~1
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Tax Lot jl: /6 gQ3
Owner:
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Address: ~ S- c 5,-o;ls c:/~.....
City: 'SP,,=-< (!;'IIJ State:
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Phone jl: /1-1) - )S9</
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Zip:
I f'YD c;..... Fence Permi t is $5,00
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Contractor/Instalie"r: ~ 6",,: ;/~ (,\. i!> l~'--J
Address: PI'. /J,....'><. t//7') 2. ~
City: f..).(. _ ~ State:
Value of Fence:
Phone jl:
95'1
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Zip:
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Construction Contractors Registration jl:
/0' 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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Si~ure ;- "
Co - 2'0 - <,/5"
Date
FOR OFFICE USE
Date of APplicatio~:G7 -2.-0 -CjS
Receipt # '0 II qO~
Total Amount Collected.; ~ 5 .00
Checked for Delinquencies: ~.
JOB jl:qS() q1O<
Issued BY~
Checked for Historical Status: ~
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