HomeMy WebLinkAboutPermit Fence 1995-6-8
.'
/
~
SPRINGFIELD
"
I
~ .
FENCE PERKIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-375-9 .
,
726-3769
Job Location: '-II<J~ Dp,'St ST:
Assessors Map tt: 4~,: 0/70 ""32- 33>
Owner: C~'p(l.le.~ \') fYJ,IO'P-r:J
_1- .
S (.
Tax Lot tt: 64'S<ro
Address: ~/95 Ot:> IS',!
/
CitY:~r~ Joe
State:
6(L~
Phone tt: 1'1'1- if/4 S
Zip: 9?lI?g
Value of Fence: /C>OD 00
Fence Permit is $5.00
Contractor/Installer:
~eL~
Address: Ll I qS J)Pr7~L/1
City: ,S~~.c~j) Jtate:
Construction co~ctors Registration tt:
..
'.
/
SI
rrt2-
--.
Phone tt:
./
Zip:
,
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 provid~d with the Springfield
Development code requirements for fence standards.
>{ ~D/??'a:;;t '&-'j'-9S
Signature
Date
.
.
FOR OFFICE USE
Date of Application: tf ~...l ---' qs
Receipt tt O/7G 7 L - Issued
~-l5D
To tal Amoun t CoHec ted,diD 5 '
JOB #: CiS) q 3d
B~~
~
Checked for Delinquencies: ~
Checked for Historical Status:
'--
-
.
,,'