HomeMy WebLinkAboutPermit Fence 1993-11-19
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SPRINGFIELD
FENCE PERHIT APPLICATION
CITY OF SFRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
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Ctax Lot It:
Assessors Map It:
Owner: u\\ ~\)') 0\ 'Y\Ci-T0f\/
Address:,_ ~~ \\) C\ \\J cr,\\\ ~\\1IL-Phone
City: YI1Q x::&._ - 'State:, &r\Q~
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Contractor/Installer: ~I~_ A\9--~
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Address:
Phone It:
City:
State:
Zip:
Construction Contractors Registration It:
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.
Signature
Date
FOR OFFICE USE
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Receipt It XfJC\~fJ Issued By: ~ J\Q.)
Total Amount Collected: ~ ()() ,
Checked for Delinquencies:
Checked for Historical Status: