HomeMy WebLinkAboutPermit Fence 1990-6-8
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SpAFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 4313 S('f1n.s r:rlehn. fV2
Assessors Map #: \ l\ (Y?--Q fj \ ~
Owner: AnrJn I JF:,n 4vd /YLi;-,-/')
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Tax Lot #:
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Address:
Phone #:
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Zip: Q7<.t77
City:
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State:
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Value of Fence:
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Fence Permit is $5.00
contractorlInstaller:.'_,(:h A.11\ ~ f')
Address:
Phone #:
City:
State:
Zip:
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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Signature
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FOR OFFICE USE
Date of Application: (0 ~ I ~-q( )~Ob #: .q9'()~ S ~
Receipt#: Ilj3R:::L Issu.e:lBy: Inn..
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Total Amount Collected: '-- )
Checked for Delinquencies:
L------ Checked for Historical Status: ~