HomeMy WebLinkAboutPermit Fence 1991-4-15
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S.~GFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: >.1>11./ )CQ,rn. ~I
Assessors Map #: \, f)~fYI \?J
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Tax Lot
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Owner: kv" r/ ;;<~:, e.
Address: I.J" <,I
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Phone #: '7 '/ '7- g-~I.s-
City:
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State:
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Zip: If '7 "'., '7
Value of Fence::f.s;:-{Jd
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Permit is $5.00
Contractor/Installer:
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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FOR OFFICE USE
Date of Application: 4. \ 'S ,9~ -+--.;JJOb Ih-... 0(/ o'-~ S I
Receipt #: J OJ 1J4b Issued By: C /YJY1 ) ,
Total Amount' Collected: c=). ~
Checked for Delinquencies:
~-Checked for Historical Status:
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