HomeMy WebLinkAboutPermit Fence 1990-3-19
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SPRI.F~ELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILOING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 4(P3 .5:..1tt.s Gk.11 nO>" ,S/?y,' Yl~ {,~ ~ ' WiLli '7
Assessors Map #:
Owner: Lis,,- i C2tU I Syn ;th
Address: 4IP3 Sco-fts G/(.f1"1 OY".,
City: ~o""o'1~ .kdd State:
Tax Lot #:
Phone #: lU, -(p 7/4 '
Of<.... Zip: W7'..n7
Value of Fence: '1Lfoo ,00
Fence Permit is $5.00
Contractor II ns ta 11 er: 0 W ru,.V"
Address: S~ e>...so..boU<-
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 Uate
, FOR OFFICE USE
Date of Application: 8-- I q.. q D
Receipt #: L lf3 J ;;l
Issued By:
0t6lJ
Job #: '1 DIJ-3/:A
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Total Amount Collected:
Checked for Delinquencies:
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Checked for Historical Status:
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