HomeMy WebLinkAboutPermit Fence 1991-9-3
"-:,:,.~
.
,.
..
SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth St-reet
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Locat ion: 1 Lj :1., S ....p () Li/nl,r; d c..! ./
'7'\ 0
Assessors Map #: II n?, :;;}S;:;;D Tax Lot #:
Owner:_Qov\~ -i. .lIc,^U,.,l -:J.1~ J
Address:--1.!:i.:2.. ~ ~AA/'\r\V-, rlr:.. ~, Phone #:
o
City: ~J State: OR
o heWn
7;)(,.,- Cj4<\ I
Zip: Q7l//"'7
$ I "JOrDU
Value of Fence: ~ ~
Fence Permit is $5.00
-I
,-
Contractor/Installer: .JJ.nJ~ /}\VthAJ.p.,/ ~1-~rJL.-
Address: S ~ ?
City: fr\\.v.e...oi
VY\ 0vvvV
Phone #:Cc9'i(- OOtof_
Construction Contractors
State: oQ
Registration #: J:J..n (,.., :l
Zip: CJJL/\~
Expires: ~ Jq')
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
Development Code requirements for fence standards.
v ~ 1 1.-.",
, Signature'
BAn'JAA./
./~
.~
-S,/99,,;
/
. FOR OFF ICE USE
Date of Application:
tlhJ"" ,
Job #:
?]) l()~<=}
Receipt #:~L/ Issued By: Se:,
Total Amount Collected: ~S. 0 cl
Checked for Del inquencies: '<'Checked for Historical Status: V