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