HomeMy WebLinkAboutPermit Fence 1997-1-15
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FENCE PERMIT APPLICATION
, CIty OF SPR1NCFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
'130
Assessors Map U: llo~ 'd...L# I~
Owner: ()I2-Vi lie Pe'o(j(
Address: CL~o Q 0+-a.GG-'"
C'i ty, ,<;PQ.h:)j-R4.\ D
Value of Fence: l ~OO 6lJ
Contractotfnstaller: t) ~~
Address: ~.J () ,RI) ~. ,~~ '
City: ,~)~~~\?\ D State:
Construction contr~ors Registration #:
Job Location:
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St.
Tax Lot U:, Oo?n')1)
State:
Phone #: 717. ~~r ~,
O~ Zip: Cj1~
Fence Permit is $5.00
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Phone U:
00
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Zip:
,GL147'1
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Expires:
By signing this permit/application, I agree to call for an'in~pection 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
I A15~ 97
Date
FOR OFFICE USE
Date of Application: I ./ l5 .,..g1
Receipt jf n~ 431 ~
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Total Amount COllected:......~ ~
Checked for Delii1quendes:
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Jon #: q 1 ('{) L. 0
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Issued By: n fY\Ar)() cli{)
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Checked for Historical Status:
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