HomeMy WebLinkAboutPermit Fence 1991-7-2
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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:
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Tax Lot #: totCD
Assessors Map #:
Owner:
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Address: /11'1 (xtJltJf!;..T
City: 5 f R / (II (,. fiE l. ()
Value of Fence:./!; () 00,0 d
Phone #:
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Zip: C;'J'f/)?
State: () f\
Fence Permit is $5.00
Contractor/Installer: ,J.../) R f< '/
Address: ,~,~~ '7 n ;-p(
City: ,5 j"JR,,,li6-,'-/fJ.i)
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Phone #: ~ -- /;':: r
State:
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Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an inspection Dnce my
fence has been constructed (726-3769). I also state that all information on
this application/permit is CDrrect and that I was prDvided with the Springfield
DevelDpment Code requirements fDr fence standards.
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FOR OFFICE USE
Date of ApplicatiDn:
Receipt #: ~
Total Amount Collected:
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Issued By' ~) --
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Checked for Delinquencies:
Checked for HistDrical Status:
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