HomeMy WebLinkAboutPermit Fence 1990-9-21
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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: ''/fl7 S--n~PV1
Assessors Map #: 17002-724
Owner: lrx- h ruJ.J If) ,Pn rth (',lIS
Address: J /9'1 AI IEltR'/ <;T
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Tax Lot #: /).31360
Phone
II: c,~'i?'-71..:JJ
ZiP:77VOY
City: Eu 6E.A.J<:c
State: J''-.JLf<(~nA)
Va 1 ue of Fence: <3 ,'~ 6?-
Fence Permit is $5.00
Contractor/Installer:~-ueR~l(E.Elu petJ<...,[. (P()f7? CJJ.JL'/J ""r (}Wh-e-V
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Address :~7.3J vJ JI-:lj.
Phone #: ?y,;-::. 6Rnc:;-->
City: LlAc,E.iJc-
State: nl2..CG--llJ
Zip:
Expires:] -2,~ -97
Construction Contractors Registration II: ?79o]
By signing this permitlapplication, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on
this applicationlpermit 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: q~2Jb ~9() Job #: 7'r'Y)2nfo
Receipt #: /,8 a a'/'_ Issued By: ;;,'A M 0
Total Amount Collected: ~,(J()
Checked for Delinquencies: ~ Checked for Historical Status: ~