HomeMy WebLinkAboutPermit Fence 1992-6-25
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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
377'~ - 5
Assessors Map #: JS02- od-:. II
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Job Location:
Tax Lot #:
Z2...c-o
Owner:
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City:
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State:
Phone #: 7~ - 295'0
()Y( Zip: '3 7~79)
Address:
Value of Fence:
~26~
Fence Permit is $5.00
Address: 493 'J r"h7?/J';
City: ZZt.:::
State:
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Phone #: h fB ';> - 41 .2 E5
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Zip:
Contractor/Installer:
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Construction Contractors Registration #:
Expires:
By signing this permi t/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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Signa ture "v ' A._ ,/\A.J12)
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FOR OFFICE USE
Date of Application:
&,/2Jj5' 2-
Receipt #
527~
Issued By:
JOB il: 92tJ g 77
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Total Amount Collected: ~_~
Checked for Delinquenci es: Checked for His tori cill Stil tus: