HomeMy WebLinkAboutPermit Fence 1992-4-2
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: 7/e>92 t ~C:::>7 ~ ~~/~~~~ ;77
Assessors Map #: /? -.c?'2 -.1' /- ~,~ Tax Lot #:
Owner: ~/?7,?-'~? .c??:/Y (_/.."7-?";7>,.-'=/ :2
Address: 7/09?" C:;fz/n~?I-/ ~ Phone #:
City: ~/~C-O State: ?>A',
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Zip: 9 ?y~
Value of Fence: ~~~~
Fence Permit is $5.00
Contractor/Installer:
/?t/f//?,~~
Address:
Phone #:
City:
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 stated that all information on
thi~ application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
~~ ~4?A)
~.2_ 9'2-
Date
FOR OFFICE USE
Date of Application: '-I-2-9Z
Receipt # 7'20 "3
Total Amount Collected:
~"",,,""'"
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JOB #: 926>520/
Issued By: <<~. '-
-/p-
Checked for Delinquencies:
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Checked for Historical Status:
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