HomeMy WebLinkAboutPermit Fence 1996-5-13
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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: <:.3<3' (;)
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Assessors Map ft: /~~2 .~ -/2
Owner: ~ Ie .\-<. L u nr\ <:..\-{'() Uv\
Address: '33<6'0 S e eeL t.Jtn{)A i){C
City:Sip-f:..!c\ State:AR.
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Tax Lo t ft: _ L:J2.c-->
Phone ft: 9?;?; - 9d<?:S
Zip: CJ74.J.Y
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Value of Fence: 8.,(!)OC>
Fence Permit is $5.00
Contractor/Installer: ~ -e (()~ tV-e..J
Address:
Phone ft:
Ci ty:
State:
Zip:
Construction Contractors Registration ft:
Expires:
lly signing this permit/application, I agree to call for an inspection once 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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Date
Signa ture ~
FOR OFFICE USE
Date of Application: ~-/:3-?.6
Receipt ft 2/5/V
To tal Amoun t Collec ted: 5":'.::ss
JOB #: ~c:::::'.6~
Issued By: ~~~
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