HomeMy WebLinkAboutPermit Fence 1989-12-15
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
/5'-1--5 ~;Ad-/n '~~'
Assessors Map #: 17 01 :J / ,,q,;).
Owner: ~ ~~)
Address :_/ 51-5 aM d1 ~ o{tiJn..; _
City: 4t r' - . State: O~
Val ue of Fence: &tJO!!!-
Tax Lot #:
OO/cR,,"1
Phone #:
~Lj/- 0 fY-~'3
Zip: q7L/-77
Fence Permit is $5.00
Contractor/Installer: ~ /(.A)
Address:
Phone #: '
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on
this application/permit is correct and that I was ~rovided with the Springfield
Development Code requirements for fence standards.
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Signature -
/2 - IS--~
Date
, FOR OFF ICE USE
Receipt #:
J S560
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Job #:
C(Q./33 Lj
,
Date of Application:
Checked for Delinquencies:
~sued By:
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Checked for Historical Status:
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Total Amount Collected: