HomeMy WebLinkAboutPermit Fence 1996-8-16
@][j)J(!i)}~~ ~
SiP'fRI.Dli\iIGlFllEIl..D , 1
~o
,,'~,~
. ~ ..
,0 0 00 coo 0
o j
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfi~ld, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769,
Job Location:
UtmpJ//C( -5,J-
/'7 -('J ;; ~:i 2 ~ ~~ "~
-;;:':/,/,.../ t'c/;/'~ Ie
v
2\?Jb //;- Td
~"1 SI /
-/
Tax Lot #: 00 -Y9C) /
J-f/27
~ssessors Map #:
Ownet- :
Address:
Phone #:-
City:
State:
CJ/J
Zip: Cf/"I??
Value ot' Fe'nce:
J l5'O()
Fence Permit is $5.00
Contractor/Installer:
Address:~i),;, ~
I
Ci ty: '~f2i2-
,)'~ ) J
~7/V
/5'-.1-17 <,-:r-
II -..:>n,hone #:
{J/2-
Zip:
c;74'7',
State:
Constiuction Contractors Registration #:
--- '
Expires:
---
By signing this permit/a~plication, I 'agrce to call for an inspection once my
fcncchas been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provid~d with the Springfield
Develop~ent code requirements for fence stand~rds.
~ cyVU
~igna tm-r ty ,
8r-//o - 96
Date
FOR OFFICE USE
\
Receipt
Total Amount' Collected:2rt :5_tsD
\ --.~.
Application:,V- --
It 0 :>>-8Cjg
Itn--CUo
\
Jon #: 0u J I ')-X'
Issued By: f\ IY\<3l C.h ~a CJ
,./
'Date of
Checked for Delinquencies:
l~' Checked for ,Historical Status:
~