HomeMy WebLinkAboutPermit Fence 1990-4-26
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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: 'l ~L 0 ~'JNn~ Gl Q.l\
Assess~ ~a.p., \ 'l fl. ~-;Y[)~Q 2} - Tax Lot #: ODtoOO
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Address:J /qq n T9. rr(~ ) _ Phone #:
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City: "( J... "Qj(j\ Q , S e: t A'--J-L..J Zip: -~ IlIJL
Value of Fence: ~'1rf).C() Fence Permit is $5.00
ContractorlInstaller: ~ nU1\O~ V .9..iJ~~
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
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
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FOR OFFICE USE
. Date of Application: 4-? Jf) -C('O \.-11 Job,1:
Receipt #:liaZ4 (~ Issued By: (f,(I'D.
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Total Amount Collected:
Checked for Delinquencies:
~Checked for Historical Status:
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