HomeMy WebLinkAboutPermit Fence 1994-2-4
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SPRINGFIELD
FENCE PERKIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: q,.~, /~r:..,'>-., l\:). (')OC)'i.R1.,..li..\ \COp
Assessors Map #: I, C\ ~ L:L=3 I Tax Lot #:
6?i{)O
Owner: ("!Au-. \. ">,"'\n\ \1Ol?
:.;, ~ ,
Address: \ Q 1::\ (~ "U.,. \)p\~ '\::) Q
City: <;:;:\~........<'.<:-~ State: ClGC..
Phone #: ~c\'l_"ri. 'i<.F-,~
Zip: ~)\..\F)..,,~
Value of Fence:
?b5f,
Fence Permit is $5.00
Contractor/Installer:
T^nA9'V
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
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.
;:.4..-\A-<\L\.
Date
Date of Application: ;:~L{ -1..../
Receipt # I \ 0C1 V
Issued By:
JOB #: qy.n 12.-0
(1~
Total Amount Collected:
t;.r:X)
Checked for Delinquencies: " ~/
Checked for Historic~l Status: ~.