HomeMy WebLinkAboutPermit Fence 1996-9-24
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
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nUILDJNG SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Loca'tion:
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Assessors Hap It I j -; OS 3 '-j
Owner: 2)D;t! n;clre/
Address: B10 /1-0?;?""/I1
City: s?//~
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Tax Lot #: ao ~OO
State:
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Phone' #: 7;/'7-8368
Zip: 9?1//"/
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Value of Fence:
Fence Permit is $5.00
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Contractor/Installer: I1JdIf""t& t/,/J1k Y r?t?I1C5/<
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tooo;)/4he.- ,,42,
S tat e : 0'2..-
,Construction Contractors Registration #: ~c:;~t3~~
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Address: !5'i'l
City: s?;-/D
Phone #: 7f:,?,-:..- 818)
Zip: ~7,/, 77
Expires: 6-7'7
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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
Developmen: C~L"_~e~~ss f f/or nce standards.
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Signature Date
FOR OFFICE USE
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Date of Application: Cf -~L1- q f.tJ
Receipt ff D;;0~53 -
To tal Amoun t Collee tee!: J} -5 _ CSD
jOil #: q (; I:d-;J I
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Issued By: n - fY'\6)Ch aeL 0
Checked for Delinquencies:
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Checked for Historical Statlls:
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