HomeMy WebLinkAboutPermit Fence 1992-4-3
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY Qt' SPRINGFIELD
BUII.OING SAFETY lHVISION
225 North Fifth Street
Springfiel.d, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: 477 Scofk U l-f,V\ Vl
Assessors Map #: /7/)] 2. 7 /3
o~ner:--Lni..J~jW-fH\ ,-P~ pAIS
Address: ~.,?7
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Tax Lot ft: rJ9-./....en
Phone #:
City:
State:
;r
u
Zip:
Value of Fence:
220 0.- _
Fence Permit is $5.00
C6ntractor/lnstaller:
Ol()~)?X7
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expin;s:
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By signing this permi t/application, I agree '..'h call for an
fence has been constructed (726-3769). I also stated that
this application/permit is co~rect and that I was provided
Om'" 2'."" foe f"" ",.do,,",
.e_ p \ ~A
W~.iv~ U/C~
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inspection once my
all information on
~ith the Springfield
/3-9.7
Date'
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FOR OF~~ICE USE
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Receipt #
d;r~ ~
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~/317'0
Issued By:
JOB fi: 92/').<; ,!f,.,
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Date <.>f Application:
Total. Amount Collected:
C:;60
Checked for Delinqupnd ps:
'----""".
Checked for Historic~l St~tus:
'-....
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