HomeMy WebLinkAboutPermit Fence 1994-11-10
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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: ctco tnliwJwy ~ .
Assessors Map I: I ')()3~ \J
Owner: 3u')( . .~ ./
Address: lLt~ ~
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Tax Lot I:
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City:
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Phone
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I: tl4.ffiUQ
Zip: q7171
State:
Value of Fence: (I nno ,00 Fence Permi t is $5.00
Contractor/Installer\: Do Wson GsJa:rl
Address: f3 0Dhl)(Q. H1#._~ p~one I: ~-l
City: r'(Jr1.~f\Q~ 0 Stat:: ~OY.\ Zip: Vlq
Construction c.G~ractors Registration I: 01"50+ Expires: La. \~.
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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
Development code requirements for fence standards.
C;; ~ ~ ft(2
SignatuV'
inspection once my
all information on
with the Springfield
.'
Date
FOR OFFICE USE
Date of APplicati~n: 11. f 0 . Cf4
Receipt I \~ \~
Total Amount Collected:_ 1::s~
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By: (),IOO )
Issued
Checked for Delinqu~nci es:
Checked for Historical Status: