HomeMy WebLinkAboutPermit Fence 1994-5-11
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FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
nUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: C;;5~
.Assessors Map U: J} -0"3 -~~A =< -=? Tax Lot #:
Owner: ~Jl 4-AQ Jf1j,LV14JG
Address: -Gl'5 2' ~S+.. Phone U:
City: ~r~Q~
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State:
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,Zip: ~7L
Value of Fence:
Fence Permit is $5.00
Contractor/Installer: '
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Add ress: .- d-?cJ Q ,(
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Phone #:
City:
State:
,Zip:
Construttion Contractors Registration U:
Expires:
lly signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all informatibn on
this application/permit is correct and that I was provided with the Springfield
DeV"l~)~ t ;Od e requi I ts for fence s tand.rds.
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Si'gna fw:e Da te
FOR OFFICE USE
Date of Application:
;:S"--/r~Y
Receipt n /2?/C?
Issued lly:
Jon ~t: '9t/e:::J6?9
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Total Amount Collected:~~
Checked for Delinq\lpnd es:
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Checked forlIistodcill St;1tllS:
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