HomeMy WebLinkAboutPermit Fence 1997-5-13
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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:
:ft2.0 I+JC~A 5T 5&//J\F:'~/d.
17()2_~ /Lj-Lf
Tax Lot #:
9D~
Assessors Map #:
Owner: JOSe J~).I/ f!Rv-z. D6L'Mt>;/lo
Address:
3 9~ o. AJ~o,t.;,+
Phone
#: 7lfL1-
SS~L
City:
'SPR"~Q, F/'$/J..
,State:
C)~
Zip: ' . q''>4~53'
Value of Fence:
It{ 00'0<'>
Fence Permit is $5.00
Con t rac tor/Ins taller: ROlf..hu/'e <;h~v._
'.
'.
Address: 3'155 A/co;.);'.
Ci ty: 5PI<'^e F,'eIJ
Phone # : ~'16 - "b If '>
State:
(!) f( ,
Zip: CJ?'1?<t'
EXPire'i/ /?Cf~
Construction ,Contractors Registration #:
~~41 '"3
By signing this permit/application, I agree to call for an inspection onc~ 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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Signature
5 -/3 -'1)
Date
FOR OFFICE USE
Date of Application: <:;/>~ /9 -::;--
- l' I
Receipt # 0 J <\ --1 S )
Total Amount CO~lected:1;~,6 ()
Checked for Del'inquenc:i'es: n~
Issued By:
Jon i: 97'073 r
~.Yh~
Check.ed for Historical Sta tus: (}~
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