HomeMy WebLinkAboutPermit Fence 1991-6-13
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: Lt't'7I$ 4.4?~/J~//f2 ?~
Assessors Map #: 17~02~ t/-' '!<j
Owner: ~N~LD l]~V/5
Tax Lot #: tC!?07/L/
Address: :)At~ . Phone #: 7Y /' c/o7-:!<
City: ??FLJ?--- State: ~/? Zip:
Value of Fence: //?-? .?c.,. Fence Permit is $5.00
Contractor II ns ta 11 er: ~~p;z~;:;z::;r
Address: Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
~xpires:
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 requirement? for fence standards.
a~A~ti~ \^~
Signature
(0-/3- 9/
Date
FOR OFFICE USE
Date of Application: ~~/;r-7?~
Receipt #: ;:;?c::; 370
Total Amount Collected:
Issued By:
;5: c:::Ye:::'
Job #: 9/Ph:? /
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Checked for Delinquencies:
. Checked for Historical Status: