Loading...
HomeMy WebLinkAboutPermit Fence 1990-10-2 . e. o SPRINGFIELD' FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: <f1f~,,21 A- ",,-%Q;t Assessors Map #: I r; (')?J ?/64~ Owner: ~L~ 4J1~, Address: 14() SrJl;-f-{" fVI,t:\"1 81- Phone #: City: .1'vu~/L;L:/ State: O/<.1t-4A-->"--' AY" 0/ ~ Value of Fence: S, JOO. 00 Fence Permit is $5.00 Tax Lot #: m'7()() 7# 7 - 3 '3 ')f Zip: 9 7N-7") Address: /,-;2. -I" 9 AI City: --f~J_~"" L~d -,9 Jr' Construction Contractors Registration O./tRA~ A..-rA' _ c7 - .~~I;'/// Phone #:7//1-P3;}7 Zip: 91# '7 ') Expires:j :;'/3;P Contractor/Installer: State: rJ-1.r!A~ c7 #: jj. / / /, 6 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 ;s correct and that I was provided with the Springfield Development Code requirements for fence standards. ~ . ~~/\) ~f/j;ff Signature ?/ ~- as-; J f9~ Uate / FOR OFFICE USE Date of Application: 10. ~. q() r _I Job #: C{()\~()~ Receipt #: I Pf\l'B Issued By: F-1\1[)f),) . Total Amou~collected: nc;x:.J -, - Checked for Delinquencies: - ~ Checked for Historical Status: v