HomeMy WebLinkAboutPermit Fence 1996-3-27
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PENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon .97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
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/~o2.. ~f 1"9,0 Tax Lot II:
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625'cro
Assessors Map II:
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Ovner:
Address: ,:f?o ~ov :5-':;3
Ci ty: C"e lG:.$a/~~
State:
Phone II: ;> ~~-<:Y? ? ~
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Value of Fence: ./5Vt9- =
Fence Permit is $5.00
Contractor/Installer:
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Address: ~c9-&;c .s-Y-3
Ci ty: ~.-U.. '7.,."" ~L.{
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State:
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Phone 1I: ;:><Y'V-J"2-? ~
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Expires: c3 / '7 /~tO
Zip:
Construction Contractors Registration 1I:
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 vas provided
Development code requirements for fence standards.
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inspection once my
all information on
vith the Springfield
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Signature
Date
FOR OFFICE USE
Date of Application: Y27('5'("
Re~eipt 1I -?p 1!>S"".r Issued By:
JOB II: 7' S/e:,-!S
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Total Amount Collected:
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Checked for Delinquencies:
Checked for Historical Status: