Loading...
HomeMy WebLinkAboutPermit Fence 1993-9-8 . . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 ~- - Job Location: 5;)-Y q rtl Ojh.bCi/Vl k.s Assessors Map #:11 0:;' ';}.."1,-34 Owner: ih€ d.a zT, g OS~ 'I Address: S2-3t) tf,Oih6t~ ~&, V Tax Lot #: DO/DO Phone #: 1J-LR - 53 1/ Zip: 47473 <;:ity: State: 10VJ./ '{Do, Of) Contractor/Installer: n ()J () ()J;- Fence Permit is $5.00 Value of Fence: Address: Phone #: :.' i' City: State: Zip: i !: Construction Contractors Registration II: 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. , ~ ,..-fA/! J/! ~ ref!"....,.,... / D~/? /,q~~ FOR OFFICE USE Issued By: JOB 1I:!l.3.-J ~ J '7 ~A 0 if1MA-~ _ ' I i Date of Application: >? ~~j?1- Receipt II J 0 I '17 q3 , r Checked for Delinqu~ncies: ~- /" Checked for Historicill StiltuS: ~ Total Amount Collected: