HomeMy WebLinkAboutPermit Fence 1996-6-5
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 No~th Fifth Street
Sp~ingfield, O~egon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Loca t ion:
.5 '7 /I R 1 c! fee 1\1 est O^f.
Assesso~s Map #: /~~ -.::>v- /7'
d 0""-< f<' 1",./ a /(' e .l~
!)f)1I Rld1e t!^/~,>t /J,y.
<)'I)I'I! 'yt{) S-Ld.c/ State: 61'/e.
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Value ofFence: 1/000
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Tax Lot #: ~~~~
Owne~:
Add~ess:
Phone #:
7:1C~2.()'11
Zip: qT)q1~
City:
Fence Pe~mit is $5.00
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Add ~ess: 'i:'V' 'W' '"
City: 5f State: ONZ
Construction Contractors Registration #:
fhone #: .74fJ -j ffZ-.
Zip: 9fJ'tf}V
Expires:
lly signing this pe~",it/application, I agree to call for an
fence has been const~ucted (726-3769). I also stated that
this application/permit is correct and that I was provided
Devel~;:~:::~~qU~S for fence standards.
FOR OFFICE USE
inspection once my
all info~mation on
with the Springfield
5' J( /9/.
/ I
Date
Date of Application: ~.~.~
Receipt tI "2/ /X'?
JOB 11: 96t:J':22~
Issued By: ~~
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To tal Amount Collec ted: df:a;C?
Checl<cd for Del inquPl1c. i es:
Checked fo~ Historical Status: