Loading...
HomeMy WebLinkAboutPermit Fence 1995-4-3 Il~" ;...~ ' ~,;i.ri:;~~~l () y ...;'~-*1JJJ!f.~.l?{Y.!f}). /'(;"'Y'... "r=r.AAY' ''';' 6"'~ ~ J,;;;<\"WifJe.,:~~;i\., \~~~\~":. . ,:~,\ ::'-(~,.' ,,' ,"'; , , _:':,::,'~~'~~:::>'-',"-'~.-';" 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: ~s/. /96~ C!-cvTC?y' L 'd 04 ~ 5/-1 h/!l F J-'<, In' Assessors Map #: /?"O~-2$"-'32 Owner: A y d e -..-, r://) In r2- / { ;/ Address: (Y!iG(i~.yTKV L"VYf€. Tax Lo t #: / '::? .61:,....1; "-" . - Phone #: 7 tj ? - '5 gz / City: 5j?fp ,~ o-d of Fence:_ 0 7~ State: oJ? Zip: l' 7'1 ? :/ Value Fence Permit is $5.00 Contractor/Installer:' ..A7/Z-/0//~' ~ I . """', , I Address: ? 0" ?3 cJ-:1C 71' 7 ' City: PI3Af~~~ /l/'~ , Construction Contractors Registration :it: rC/ii'7t:,;ztt~pires: State: cJ.-u 9-'-' ]7~ Phone :it: -----.h ytf" ....~d lL Zip: 9' 7 ~S- s:-' ~/CYCj 6- 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. , { . . _ _4P-O-Z/"-/i-c-~'UJf ' SIgna ture ' '. , . .J-"" 0/5:3- Date FOR OFFICE USE Date of Application: yo, 7~9.s- Receipt:it /bS"7'? Issued By: JOB #,:' 9S~ Y:?a r::7-~ r Checked for Delinquencies: ~~ ~ , . Total Amount Collected: Checked for Historical Status: