HomeMy WebLinkAboutPermit Fence 1993-8-6
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SPRINGFIELD C
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: ~ I S~o...&.j Gmp
Assessors Map #: i-r,o~~~~
Owner: t-Jnr-Ivu> _ SlA).Q.e..II\.~
Address: <:( \ ~~ LcrvP
City: ~n~h'etI State:
$ .
Value of Fence: 400. eft)
Tax Lo t #: otJt.[O "J
Phone #: -v-J.1.o - 'ir I h J
Of!- Zip: Cfl LiT?
Fence Permit is $5.00
Contractor/Installer: DW~
Address:
,
Phone #:
City:
I
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/permi t is correct and that I was provided
Development code requirements for fence standards,
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S~gnature 01
inspection once my
all information on
with the Springfield
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Date
FOR OFFICE USE
Receipt #
Issued By:
JOB #: q:=;. I I 1_ f-
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- Date of Application:
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Checked for Delinquend es:
5.01)
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Checked for Historic~l St~tllS: ........--
Total Amount Collected: