HomeMy WebLinkAboutPermit Fence 1994-1-24
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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 Locatio~: d'1/, \u 9.,^"L' \ ~Ij n'OO~./
Assessors Map #: /f)0384-\ ) Tax Lot #: ()~~.m
Owner: C'r\f\T~~f'(:k\ 1 iofJhJrQJ\)
Address. c944 (J,.~ . 1- Phone #:~ ')LApn~)
City:~nJf\~o~~ State: (J)JQwn Zip: C{f14:f11l
Value of Fence(~:1~.()l) Fence Permit is $5.00
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Contractor/Installer:
(QA_L)n~~
Address:
Phone #:
Ci ty:
State:
,Zip:
Construction Contractors Registration #:
Expires:
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 was provided
Development code requirement for fence standards.
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f>ilnature
inspection once my
all information on
with the Springfield
\I UUtL. A c(
Date c.
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FOR OFFICE USE
Date of Application: !-c!14..-Q4
Receipt # \\t\4';S .. Issued
Total Amount Collected: ~_~
~OB #:.. . C40oU]
By' ..!)f))
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Checked for Delinquencies:
Checked for Historical Status: