HomeMy WebLinkAboutPermit Fence 1997-5-12
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SPRINGFIELD
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 7~/ ~Col--fs 6/"-nv, f).....
Assessors Map ft: V 7 () '3 J... 7:J... 4
O~ner: SCt./'l'I-f':' CCL.W1 a kif
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Address: 7 s-I ~c,.)M. h/~i/1h /).-
City: S/:,I--/w,";:"e!) State: Olr
Tax Lot ft:
:270 ()
Phone ft: 'l ~'(~{)S-O '7
Zip: ,974' 7 J
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Value of Fence: .;toe>
Fence Permit is $5.00
Contractor/Installer:
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permi t/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I vas provided
Development code requirements for fence standards.
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inspection once my
all information on
~ith the Springfield
~ 1d--'17
Date
FOR OFFICE USE
Checked for Delinquencies:
Application: ~ 112/ q r
62<;7n0
J;S.oD
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Issued By:
JOB I: q7?l7 2 r..f
~ ,/1/7 /L~
,
Date of
Receipt ft
Total Amount Collected:
,
Checked for Historical Status: ~ ~
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