HomeMy WebLinkAboutPermit Fence 1991-10-1
.
S~FIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 5/P{Po ~ Ss\-Y~ #.-8
Assessors Map #: 1<202- 0 ~ 1/ Tax Lot #: /J~ / /9
Owner: M,!i. \-\-~~
Value of Fence:
Sd/YY\ Jl.
~~( ,fylc.L
45/4s:.
State:
Phone #: /j2-(p-qq-:z.:,o
QV2- Zip: Q1J.{-1t5
Address:
City:
Fence Permit is $5.00
\
Contractor/Installer: ~Ll4- ~ &Yi'.~
Ao" 13t!J)< /a~3 J 'J?s - 772.~
Address: /Ei'~ 2 L~~v..-e L;.#" Phone #: '.3f< - ~6.2~
City: F..LJuCvc Stat~: ~ . Zip: 97~Cl/
. Construction Contractors Registration #: 4-CJb47 Expires: //2/92
f '
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 is correct and that I was provided with the Springfield
Develo~ment Code requirements for fence standards.
'7' /. .' .,
~ r L_ (J q I 7 / d'
Signature /
/()~/-9 /
Uate
. FOR OFF ICE USE
Date of Application: 1& -/ -j I Job #: 91!.!..5" I
Receipt #: 21 f~ 9!.. Issued By: .<~~
Total Amount Collected: ,C;:OO .
Checked for Delinquencies: thecked for Historical Status: