HomeMy WebLinkAboutPermit Fence 1991-10-3 (2)
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Owner:
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Map II: \ ~CACD
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Tax Lot II: C)Rqm
Job Location:
Assessors
City:
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State:
Phone II: . rJ 2-ffl- g 11 t..(-
Zip: Q1tV1[f
Address:
Value of Fence:
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Fence Permit is $5.00
Contractor/Installer:
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Address:
Phone II:
City:
State:
Zip:
Construction Contractors Registration II:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769).! I also state that all information on
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
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Signature
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Uate
. FOR OFFICE USE
Date of Application:
(0-,;,-011
Job II:
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Receipt II:
2-/4q 0
Issued By:
SQ2
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Total Amount Collected:
Checked for Delinquencies:
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Checked for Historical Status:~