HomeMy WebLinkAboutPermit Fence 1990-8-7
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SPRINQFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELO
BUILOING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:. 9-A~ ,~_~ S ,-eX\ O,~
Assessors Map II: \ ll\~.;T! ,:\. Tax Lotll:-1D3ryJ_
Owner: fA J(\OJf\Q. Jl\.l~~\,(ln
Address: ~4~ 6('~ ~ A ~ on Phone II: IQI -
City, '~~^ cD + ~ st,t" (Q.f'y lip'
Value of Fence: cYt AI - Fence Permit is $5.00
Contractor/Installer: (Ch. L\M f )
Address:
Phone II:
City:
State:
Zip:
Construction Contractors Registration II:
Expires:
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 requirements for fence standards.
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~gnat~e' - - / Date
FOR OFFICE USE
Date of Application: Ar-'l-qn
Receipt II: \f\qfJ 'X
Checked for Delinquencies:
ISSUCO:'
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~ Checked for Historical Status: ~
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Total Amount Collected: