HomeMy WebLinkAboutPermit Fence 1994-6-2 (2)
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: 08q1 r:1JfSCf1t(~
Assessors Map #: \6000~ Tax Lot #: 05lilC'CJ
Owner: <P;jhflZ. A. 't- NA 0 L. UPlR ~(.~,
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-6-rPY State: roQ,
Value of Fence: <j{ ) -<-(DO / IYiA--T
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Address:
Phone
#: 1L(L-(-/~01
Zip: Cf7Lf7t
City:
Contractor/Installer:
is $5.00
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
Dy 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 was provided
Developmen t code requi remen ts for fence standards.'
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FOR OFFICE USE
inspection once my
all information on
with the Springfield
, Vtt/II.L d, It'(fU-- .
Date I
Date of Application: r 0 .~.C-ft4
Receipt # \?J\c::-t} 00
Total Amount Collected: ~.
Checked for Delinquendes: 'if
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Issued By:
~~B #: ~\f)~cr
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Checked for Historic~l St~tIlS: