HomeMy WebLinkAboutPermit Fence 1994-7-4
.
~
.
,
FENCE PERKIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
'*
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
bo:2. I(e I ( 1/
j?,lvd
Address:
Assessors Map #: /r-03-"'"J!I <r-~ y
Owner: <<DVl -Sherman
fooL l<::'elfL/ i6/vd
;)0 fct
Tax Lot #: e:>~~ c;..
City:
State:
OY
Phone #: 74 b-75CJ 5
Zip: qi477
,
Value of Fence: ~CJe)---
Fence Permit is $5.00
Contractor/Installer:
SelF-
Address:
.sc:t V}?AL..
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
~y signing this permit/application. I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.'
.D~
Sign~~ '-
inspection once my
all information on
with the Springfield
'7/4/ crt
Date
FOR OFFICE USE
Date of Application: ?'~'9 c;/
Receipt # / ~ %"'2....
Total Amount Collected: ~ ~~
JOB II: "97"0'791:;;;:
Issued BY:_//~ z.-
/p.
Checked for Delinql1~ndes:
.L--
Checked for Historic~l St~tl1S: