HomeMy WebLinkAboutPermit Fence 1993-12-6
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SPRINGFIELD -1
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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
Owner:
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Tax Lot II: ts2J 0'17DO
Job Location: ~ qJ
Assessors Map #:
Jl,ddress:
~CI '"7 5-=.",-11, G- ie ..... VI
Phone #:_"7<..1/__ <79c...
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City:
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State:_1'0 "
Zip: q 7<.J. '7,
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Value of Fence: ..::). ;.;l. U- C; () CJ
Fence Permit is $5.00
Contractor/Installer: c.. pJ}.J L,y,,,('-t'Y""c::I-\OA- {~.J'
Address: P, D. \3 "'~ '2 \ C; 'Z-t; Phone #:
I. ' Ci ty: (1.\<: "......-e... State: CJ ~-L Zip:"'''' L./t> "'1-
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Construction Contractors Registration #:
g.n La':<, /'. Expires:
4-9t.j
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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Signilture - .
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Date
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FOR OFFICE USE
Date of Application:
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Receipt #
II01Y
I~sued By:
JOB i: 0 ~ ) 8 I'?:,
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Total Amount Collected:
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Checked for Delinqu~nci es:
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Checked for Historic;,l St;,tus: ___