HomeMy WebLinkAboutPermit Fence 1990-2-27
.
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. SPRINGFIELD
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ~ 4\4 lJ(\j)~ 6\ Q n~, \Jlt I~e ~
Assessors Map #: \lo=?,')/\3 Tax Lot #: (')'14()O
Owner:-/~~/~/~~ /~
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City: C:,f), F 0 State: ()/<.p
Address:
Phone #:
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Zip: tJ7(,1//
Value of Fence: _ q 00. 00
Fence Permit is $5.00
Contractor/Installer: a~ ~~
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City: _C:; P F JJ
State:
Phone #:7Lf7- CJ /00
f1 RiL Zip: CJ 7c;7 7
Address:
Construction Contractors Registration #:
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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Signat~
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bate
, FOR OFFICE USE
Date of App 1 i cat i on: ;;t h, I Cj()
Receipt #: ) to \ '::l.. I
Issued By:
Job #: Cj ()O--:J":I., L./
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Total Amount Collected:
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Checked for Delinquencies:
~ Checked for Historical Status:~