HomeMy WebLinkAboutPermit Fence 1992-11-18
.
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY .DIVISION
*
'225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: ~7~~ #f'L/7/--:~ ."fir
Assessors Map fI:~-c?':2--r::::;J,/y~ Tax Lot fI: 3~~
O..ner: W?J-.,{~/,,? ;?A'J'/,,;~#iJ'~
Address: ?~C-- Phone fI: ?S'.6~2~?
Ci ty: ,?~/? State: ~~ Zip:
Value of Fence: :z/~O
~
Fence Permit is $5.00
Contractor/Installer:
//~~~
__ .. F';- _
Address:
Phone fI:
City:
State:
Zip:
Construction Contractors Registration fI:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I ..as provided ..ith the Springfield
Development code requirements for .fence standards.
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Srgna ture
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Date
FOR OFFICE USE
Date of Application:
I/-/!J.' '/' '"'2..-.
JOB fI: .::;?2/a--.;;....:>
Receipt fI
6$~
Issued
Total Amoun t CoHee ted:
5:"~
Checked for Delinqu~n~ies:
~
Checked for Historical Status: