HomeMy WebLinkAboutPermit Fence 1995-5-29
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
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225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: il57 0
Assessors Map #: 1101-
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Owner:~ i ~ I-l if
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Address: ~l5 70 .
Ci ty: -:;tJr) /14 field
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Phone #:
7 17 ---0-3> cs-(
Zip: Q7 Cf-t r
State:
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Value of Fence: /)'-'U
Fence Permit is $5.00
Contractor/Installer:
Clivi
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Address: / / 2C(
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Phone #: 7 '1-6 --S~.J5
Zip: q2917
Expires: X'"-l..~ -?b
S tat e : OJ.-8?c.JVr
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Construction Contractors Registration#:'C.'C/3 7</?C/9
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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Signa ture
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Date'
FOR OFFICE USE
Date of Application:3- 50- q S
Receipt # n I 07 Q']"
Total Amount C~llected~~~-()7),
Checked for Delinquencies: . i ./
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Issued
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Checked for Historical Status:
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