HomeMy WebLinkAboutPermit Fence 1992-6-26
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Spri.ngfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Job Location: I) tL{ <5 CO~s, C, \e~"\f'. C\e I (QQ~\-..\h~e \ C\ ~
Assessors Map lI: \~;{ 1~1 _Tax Lot lI:-f)6l;C( )
Owner: \Q:,~ s..C~ '\\ C Loc..\::.\....a.~\J,,,ryo...~~ '\
Addr~ss:lll~ S'C(::)~ C-:>\E' f\\\ ~ Phone lI~ Ylo":"\S3?_
City~g~\f\.)(....,y\\2. \ ~ State: ~ Zil': C\.l\flK
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V'~lue of Fence' \ ^" 0 Fence Permit is $5.00 ,,_,
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ContractorlInstal,ler: ~
Address:
Phone lI:
City:
State:
Zip:
Construction Contractors Registration lI:
Expi.res:
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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~~ ~F~F;I USE
Date of Application: te;hrf Z
Receipt II ~j>,Ic? Issued By:
JOB lI: q ;;'0138tp
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Total Amount Collected:
5'~
Checked for Delinquend es: ____--
Checked for Historical Status: