HomeMy WebLinkAboutPermit Fence 1990-7-2
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: SOS Scoi-h,q lpv,
Assessors Map #: \ 0 O::{;)f} A.r:i
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Owner: v~, \A)' VV"\v...I/) ,
Address: c:.,OS 'Sc:..ntka I,.,,", '[)v-. Phone II: /4/-S-}3,3"
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City: ~",Q \oP State: nQ Zip: 0 lUll
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Value of Fence: "') 0)'2.,2
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Tax Lot II: O<f<.~f'()
Fence Permit is $5.00
ContractorlInstaller: t:.Ve.v-4{'o~ ~ r:-.J^~(,J-...
Address: '2..., -'(2...c., W.I I dV Phone 11:~L.jc;- o'i?oS
City: J::l j~L-..^ "-
Construction Contractors
State: oQ
Registration #: ~IC} OJ
Q/40';)
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Zip:
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
FOR OFFICE USE
Date of Application: '/1.. I elf')
Receipt #: \ 'I S0?.,
Total Amount Collected:
Issued By:
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Checked for Delinquencies:
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Job #:
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Checked for Historical Status: