HomeMy WebLinkAboutPermit Fence 1996-12-4
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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 Location:'
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Tax Lot #:
550~
Assessors M~p #:
Owner:
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Ci ty: ~rr ''^J ~1'PJr\
State:
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Phone#: 7 ~ tn -- S<L?&
Zip: q IV))
Address:
Value of ' Fence:
17'-/ s ,
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Fence Permit is $5.00
ton tractor/Ins taller:
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Address:
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Phone #: 0 g---f{ ~(J 0 <0 ~
Zi"p: 9 ?y ()..2
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Expires: .1 ) 9 7
Ci ty: ~~^ A..l _', . State: 'DfL
Construction Contractors Regist~ation #: ~~O~ ~
By'sig)1il1g this permi t/application, I agree to call for an inspection' once ,my ,
fence has been construc'ted (726-3769). I a1.,:;o stated that all infol,""mation on
this application/per~it ls~orrect and that I was provided with the Springfield
Development code requirements for fence standards.
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Signa ture ---
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'7 199 fa
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Date
FOR OFFICE USE
Date of Applic'ation: " J--L! - qep
Receipt # D~q51
To tal Amoun t Collec ted :~1 (~. ,()1)
Jon #:!1W (oil
By:O\ . mQ)C~Ke~
Issued
Checked [or DelinqtlPn['~e.s:
f..~~'/'/Checked for I1is toriCi11. Sta tus:
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