Loading...
HomeMy WebLinkAboutPermit Fence 1994-8-2 ~. e-- "',1"0\ SPRINGFIELD FENCE PERHIT APPLICATION CITY'OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 (~ q~ ~ fJi q C; IJ . ~i/lp aj L/J - - V I Assessors Map #: /7 ()"=? 2..:2_~1 Tax Lot #: Owner:, ( ; ~t '\ I fA, ~ "-.fL- ' Address: , I 7 h ()-t'~ v) (" .k.-- rz- d S~q,{N- U Value of Fence: $ r:;{(Jl) <V Job Location: / I / ,57) City: State: rJfZ- Phone D: '~y. ~-Cb7L Zip: 17t(tJI Fence Permit is $5.00 Contractor/Installer:~~ mAJ~ Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: ~y signing this permit/applic~tion, 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., / Sign~r.e";- r1.. c..~ "'g-2-'t~ Date FOR OFFICE USE " E-2.-C:;v IYI77- Date ~f Application: Receipt # s.~ Issued By: JOB #: t1 ~ J7 0 ~ ~ Total Amount Collected: Checked for Delinqupnri p~: ',.-- Checked for IIi ~ tori C~ 1 S t~ tu~: ...___-