HomeMy WebLinkAboutPermit Fence 1997-3-31
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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: /t/17 0 ~
Assessors Map #: /102 !: 0 / 1.,
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Tax Lot #: ~ / ()6
Owner:
City:
State:
(j;Ky
Phone #: 7q--cJk ? 'Z-.
Zip: 97V'77
Address:
Contractor/Installer:
C()QrO ()
E~~01(G ')00rJ!H/(/U
, ,) Phone #: '"/ Vf'-o b C'" ?
Fence Permit is $5.00
Value of Fence:
Address: 17f 7
City: _") f~ //
State: 6.JZ ~ Zip: C; '7 y 7'"7
Construction Contractors Registration #:
Expires:
lly signing this permit/application, I agree to call for an inspection once my
fence 11as 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.
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Signa tuP Da te
FOR OFFICE USE
Date of Application: ~~ /3 i I q 7--
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Receipt # ()1 Sf / /
Total Amount Collected: 1; S; .()Q
Checked for Delinquencies: -Dof1.f--.
Issued By:
Jon #:!!ttO t.{S Cf
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Checked for His torical Sta tus :nf)1t.R