HomeMy WebLinkAboutPermit Fence 6-3-29
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SPRINGFIELD
FENCE PERHIT 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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Tax Lot #: ~ yc:>/
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Assessors Map #: /')-02. - '37"'-~L
OwnelT: lr}.\I\r\ e h(1+-hl~ 1-\0.,\ \ ~
Address: SqqO r..., ~+ '
City: 6-0\,~\;pl('l
Phone
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Zip: Q7Lti'8
State:
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Value of Fence: /~~.~~
Fence Permit is $5,00
contractor/Installer:~~~
Address:
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Phope,#:
City:
State:
Zip:
Construction Contractors Registration #~
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has 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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Signature ~ -
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Date' ,
FOR OFFICE USE
Date of Application: ~....-:2 ~..~
Receipt # ~c>~q l(
Issued By:
JOB#:_9b~~
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Total Amount Collected:
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Checked for Delinquencies:
Checked for Historical Status:
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