Loading...
HomeMy WebLinkAboutPermit Fence 1995-4-18 '\~ ..J.lL ~~.-;:;':--' .. FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 'Job Location: (~~4rtJ--! / ~ Assessors Map #: /7/) 2.. ~ 2.. ~.f. Owner: L 'j /,f.} 'i COfn'tt1'JL L-J~ ~ V-l L~. Address: tff;? I J., (~ltfrt:J id 'A ("J, " Ci ty: ~,Pr" ~G fie i-b f ,~r/2 Tax Lo t #: tf) 2.. f!!ro-tJ Phone #: ry~fp~ tj7~7 , tJ Zip: '11tt 71") State: 8~ Value of Fence: / 3~%:. ~ I Fence Permit is $5.00 ;on:ractor/Installer:41~-M~?~ U a.c/~ _ Address: -(fl9 ~ ,7/ '7 Phone #: ~~~ -.5.;2// City: p~~/-~/ State: d4~ r Zip: 977??5- Construction Contractors Registration #: 7 U~L/-' y Expires: 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. t: , , Y/(~/yS Da te I ( ~g~~,SMA /~ FOR OFFICE USE Date of Application: #/~/9s- I. I Receipt # /~ ~r ~ Issued By: JOB #: 9 'SOt:;Z9L ~~' /1 // Checked for Historical Status: Total Amount Collected: '5 _c-o Checked for Delinquencies: / ---