HomeMy WebLinkAboutPermit Fence 1990-9-21
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELO
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 4~~ ~(\rTI-t ~ G\ Q X\ ~~\\~ ~
Assesso[s ~ap #: V, ()~f\ \ ~ . Tax Lot #: fi.:{?t()
Owner: H\f\ ro \ \l Y\ \)\ ~ in ~ 'CS
Address: \\Q~ ~"L \~ \('(\_~, SL. Phone #: lo<2Z-Y \~::\
City, Q XJ!x\Q cD silt" (~M Zip, Cll40~
Value of Fence: \ ~ Dro. Fence Permit is $5.00
ContractorlInstalled' f\~ U\\112..)
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Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
8y signing this permitlapplication, 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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FOR OFFICE USE
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Date of Application: {! ?'/~ 0
Receipt #: lC;.f}~/[ . d;Jed By:
Total Amount Collected: ~.
Job #: Lf () / /7:A
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Checked for Delinquencies:
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Checked for Historical Status: ~