HomeMy WebLinkAboutPermit Fence 1994-4-18
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Locatio~: c--Omo~<9D\L ~ 1J~
Assesso~ap #: (f]()?-/d.~. 0 Tax Lot #; CcidJ()
Owner: 'l ill fI 0 ,ck n}cxf1t~ . .
Address: ~ofJr'fS. \\!)~N\fJ 0hL' Phone #: 1{J(0-{]Q0(')
City: ~lJ 1'( Sta~: ({LR ~ Zip: cn11~
Value of Fen1: 1 . fYY)
contractor/Installe~: (C); 1 'Y'IrJp
Fence Permit is $5.00
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/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 was provided
D~ ,.d. ,."i"."" ., f"" ""d"d,,
Signa ture - Da te
inspection once my
all information on
with the Springfield
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FOR OFFICE USE
Date of Application: 4- \8 ,~
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Total Amount COllect~d: ~ DO
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Receipt #
Issued
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Checked for Delinquendes:
Checked for Historical Status: