HomeMy WebLinkAboutPermit Fence 1993-3-15
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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
Address:
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Job Location:
Assessors Map,#:
Tax Lot #:
::24 Oi)
Owner:
Phone #:
741- /7\.~\.,
97~77
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City:
State:
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Zip:
Value of Fence: J- L eO,OD
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Contractor/Installer' ~<- ~~
Address: 4/9'3 ~ C- On -c
Fence Permit is $5.00
City: Cv~_ State: c9/t
constructt:n Contractors Registration #: to V 2 Y
Phone #: tf7- yl) f
Zip:?~f/O;L
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.Expires: ) ~/ /./
By 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
FOR OFFICE USE
Date of Application: ~ / / ~ /1' J
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Receipt # 779r
Issued By:
JOB #: q,)/) ~ 2- B
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Total Amount Collected:
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Checked for Delinquencies:
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Checked for Historical Status:
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