HomeMy WebLinkAboutPermit Fence 1990-5-3
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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
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Assessors Map #: 1;- 0 -3 -.;) L/ -- ;:;--3
Owner: IfuL 'tiJ[J/ffJr cL .
Address: 66;;z.. Ah;LJ~
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Job Location:
Tax Lot #: {)(j ~()3
State:
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Phone #: "7<17-)2, 2 S
Zip: 97~77
Val ue of Fence: ..A'7ScJ, cJ"Z)
Fence Permit is $5.00
Contractor/Installer:
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Address: a z 45;6'~"
City: ~-c5P>/t..4x-0fJi?-tL
Phone #: ?t./7 - 2-2.,[3
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 provided with the Springfield
Development Code requirements for fence standards.
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Signafufe' - ~;/V' I
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Date/ /
FOR OFFICE USE
Issued By:
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Date of Application:
Receipt #:,M 36 '
Total Amount Collected:
!;-3 -q 0
Job #:
Checked for Delinquencies:
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Checked for Historical Status:
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