HomeMy WebLinkAboutPermit Fence 1993-8-27
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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: ~9'2 ~./'7''''''''"-'.#~ A~
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Assessors Map #: Tax Lot #:
Owner: M~ ~ C~/Y>#rr->
Address: ~~ E Phone #:
City: ?;Z>rL-7;> State: ~<'. Zip:
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Value of Fence: ~~~
Fence Permit is $5.00
Contractor/Installer:_ CL/rt!5 ~rC;-,
. Address: ~~.N 6"1fi??1f7 Phone #: ?'T'7'-7~ y
City:
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State:
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7?6~S Expires:
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Construction Contractors Registration #:
By signing this permit/application, I agree to call for an inspection once my
fence has been con u ted (726-3769). I also stated that all information on
this applicatio er t is correct and that I was provided with the Springfield
Development co quirements f~ ~nce standards.
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Signatur,e"- Date
FOR OFFICE USE
Date of Application: <&-2;:>-"'7 ~
Receipt # /~2-:;- Issued By:
Total Amount Collected:
~.....-
JOB #: ~"3'/Z.B"'?'
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Checked for Delinquencies: ~
Checked for Historical Status:
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