HomeMy WebLinkAboutPermit Fence 1997-1-15
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FENCE PERMIT APPLICATION
C1TY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors Map u: 11 03 d-y
()eJJI ~LE. VROc1Z,
Job Location:
31.
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Tax Lo t U: 00 I 0 I
Owner:
Address: ~30 Q
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Ci ty: SPIZ-l ~C::.~'-\SLD
State: DR:.
Phone #: '11...\:, ~'2..cOB'2..
Zip: <:114'1'1
Value of Fence:
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Fence Permit is $5.00 ,
Con trac tOhIns taller: ORE. G:50
Address: Y 0 00,L 3&
City, ,<-., ~)C\~Jd
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Phone #:
Sta te: [)/2....
Construction Contr~)rs Registration
#:(C)103L(73
Zip: 07L;77
Expires: I ~ -D7-17
Dy signing this permit/application, I agree to call for aninipection once my
fence lIas been constructed (726-3769). I also sta~ed 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'
! .. I~ ., 97
Date
FOR OFFICE USE
Date of Application: ! -IS ....4l
Receipt uJ~O.l4,~JLj
To tal Amoun ~ - Collec ted: \ji. ~ . r:s6 '
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Checked for Delinquencies:
Jon tt: L1160L-
Issued By: f\. m~c.hcctu
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Checked for Historical Status:
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