HomeMy WebLinkAboutPermit Fence 1992-10-9
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING ,SAFETY DIVISION
"225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: 4o~ \._6trtt-~ 6tQJ\ ~\Q ).
Asse!{SorspMap iI: 1'l()~ru?1 Tax Lot iI: 06=1rxJ
owneFJ).(fi!J& J(J ~tFn 51 ~ . " ,
Address:Jm W ~~lj-.J' Phone iI:_lo?8-(cbCfL
City:_~ )~ ~--/ StaQ: Vf) Zip: ql1<JL:
Value of Fence: r-O,~ ~ <<:) _ Fe~e Permi t is $5.00
contractor/Installer:-- ('~~~
Address:
Phone iI:
City:
State:
Zip:
Construction Contractors Registration iI:
Expires:
By signing this permit/application, 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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Sl 11 t J /.(/XYal/eAJF~Lt-JL~./0
FOR OFFICE USE
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Date of APPlicatiol1:__I().L{'4~
Receipt iI (A-1') " Issued
Total Amount Collected: ~~,~
Date
U~B~: qt:) !Ll~
By:Cly0[L; .
Checked for Delinquf'nd es:
Checked for Historical Status: