HomeMy WebLinkAboutPermit Fence 1995-11-27
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY 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 #~I (') ~ 2(0 2c-t
Owner: 8~ f{:tHt.z;:::;
Address: <? 0 BOX {jo8
Tax Lot #:
City:
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of Fence: ;; 87~. ./
.State: ~~
Phone #: cJ If:2.. - ~ '3 '95
Zip: Q1t!l!O
Value
Fence Permit is $5.00
Contractor/Installer: ~___
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Address: v:: 0 5-0,( 3(;,
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City: S~ ../....,~
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Construction Contractors Registration #:
State:
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Phone #: 1Y~- g:s 2..1
,Zip: 97'1~ 1
Expires: ~ qj...
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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Signatur~
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FOR OFFICE USE
Date of Application: L( .-- Z}-ti' ~
Receipt # 0 f q &7 ~
Total Amount COllected:~~5 y
Checked for Delinquencies: '
JOB #: Cl7S()QS I
Issued BY:,J .. fY\.M~~~
Checked for Historical Status:
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