HomeMy WebLinkAboutPermit Fence 1990-5-2
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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
Assessors Map #:
''1/37 BlueBE)/ ~pFd"
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Job Location:
Tax Lot #:
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Owner:'1)~ f(~T
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Address: I1L/5 v~ /1
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Phone #: 1Cf7 - 18 19 '
State: ~ Zip:
Value of Fence:
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Fence Permit is $5.00
Contractor/Installer: ORE?~,v
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Address: 'P. 0 ~ 3? Phone #: 7ft';'1? 5 ~ f
City: cSoRn.Jq F'JI;// State: t'?R€ Zip: 91'177
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Construction Contractors Registration #: tf//bCo Expires: /2-.7/-10
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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Date
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Date of Appl ication: ,CO .' 2- ' q 0 ,Job #: .
Receipt #: ( Or) /('/ Issued By: B\~
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Total Amount Collected: ~ .~
Checked for Delinquencies: ~
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Checked for Historical Status: ~
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