HomeMy WebLinkAboutPermit Fence 1995-5-24
.
.
~ .
SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
City:
TJ
II /;) [)
1pDv
.
l0D ~t)tn (.v~
#:Jl.tJ'h~
~ ~ft, .
eu~ Ift)~
Tax Lot #: (r7( &0
Job Location:
Assessors Map
Owner:
Address:
Phone
#: 1%ft'1~tf
~iP: q1f!7
State:
AYl-
Value of Fence: tP ~ ./fb
Fence Permit is $5.00
Contractor/Installer:
Address:~ ~
Ci ty: I1pBD
Construction Contractors Registration #:
&Jlu
...
'.
/
1%-7l/1;r/
Zip: tj-1t(11
Phone #:
rYI--
Expires:
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.
U'L
.e::; J 2-4 /q S-
Da t e' -
.
~
Slgnature
FOR OFFICE USE
Date of Application: ,0, ~t..f....Cf &?
Receipt # () (-1lJctL{
Total Amount Collected: ~d()
~.f!' Checked for Delinquenc.:i.es: ~
Issued By:
JOB #: q{ ff7{p"Y
W
. ,
K
.
Checked for Historical Status:
. .J