HomeMy WebLinkAboutPermit Fence 1992-10-6
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Job Location: ~OO ~ ~
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Assessors Ma~ #: ::l7C) ~--zJo (() >"':
Owner: _rJ u r Don /2.. ~ uJ F ;;,.' ;:"
Address: 700 CJ sr:
Tax Lot #:LJ..o/(j{)
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City: SfR.;N1 ~E/d
Value of Fence: '\b\)D.
,Phone #: 7.:l0-7S.2. J
OIfRqo~ Zip: 97~17
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State:
Fence Permit is $5.00
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Contractor/Installer:O Req()7V _ rell/t-c ~.
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Address: ? 0' - 6o-y ,3k,
City: Sf'#!/J/p/Yt)J
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Construction Contractors
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Phone #: 11&;.. ~ 3.:?1
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State :f2.t?Ffb pi
Registration #: fI//tt
Zip: '11Y11
EXPires:)c;~J~92-
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 requirement? for fence standards.
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Date r.
, FOR OFF ICE USE
Date of Application: \ b--' --cr~
Receipt #:CJL//1f~Cfi5/ , J Issued By:
Job #:
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Crz) 516
Checked for Delinquencies:
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/" Checked for Historical Status:
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Total Amount Collected: