HomeMy WebLinkAboutPermit Fence 1997-5-13
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SPRINGFIELD ........,..__...
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Job Location:J'c1>:? C-.or<",., 1,-,.
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Assessors Map It: 1'7- 0 ~ - 'S t: - /1
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Tax Lot It:
1101
Owner:-E IIA/h
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Ci ty: ~.,"4"'"
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of Fence r 7/O;fJ _ Cl>
State:
~12
Phone #: ~g-r-?'/,('7
Zip: 97~'7
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Add ress: rP_c> R~ ') 'i t; ')
Value
Fence Permit is $5.00
contractor/Instal1er:~ r~ ?~-/eR.'\t')/Y' (d6n- in -1..a0'0
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Address: //13'ft? A/', ",::>;h - <. W Phone It: 7d?b- C?.5ZX!
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cOr--- Zip: tF~7R
A/'/l Expires:..4/4
Ci ty:~\~y-~..>l #-eid State:
const:.:""tc'tion co~r~ctors Registration It:
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Ily signing this permi t/applic,ation, 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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Signature4-t'VV'V! ;' ~A. I"
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Date
FOR OFFICE USE
,
Date of Application: ~I /3/1 f-
Receipt U fJ25/4-3'
Total Amount COllected:3.~ .00
Checked for Delinquencies: n(j;lc
Issued By:
Jon #: C?7D7i/4
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Checked for Historical Status:n~