HomeMy WebLinkAboutPermit Fence 1997-5-14
r;
-.
.
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
nUILD;t:NG 'SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Assessors Hap DI
Lf5z 7 /101/ E/ 6/:
/ ~ ()2 DS / 2f)()
Tax Lot D:
gtIJQ 1
Job Location:
Owner: 1?1/~/{EY Wc/iI3~z-
Address: "YSZ7 ;/o/IV 6/.
City: c5? .I~/ U State:
Value of Fence: ~~L?~
Phone' D:
De.-, . Zip:
7 z~-o6f"8
<J 7 Y? 8
Fence Permit is $5.00
I
,
Contractor/Installer: ,?/?(!//-:"/& t/A//e/ {1f);c/..s/.
Address:Scf1 WooolA,y1!- 2)2- Phone D: 7C/j.!'-!3f'87
City: ..s?7/0 State: 0/2 I Zip: tJ 7~.?
. Construction Contractors Registration D: /0613;;><; Expires: 6 - 97' --
"
,
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
""Z" "." 72 f"!,._e standards, c5 -/r -7'7
Signature L/'"' ~ - Date
, ,
FOR OFFICE USE
....l'-
Date of Application: 5/ Ie( /q l- .
Receipt u_,()1~1:1S- Issued n~:
JOn II: 97Q7~ 2
><, I'YiJA'./\
Total Amount Collected:
Checked for Delinquend es: J1.t;f'vv---
1; <;; - {)O
Checked for Historical Status: 11~
......
u" . <.
........':
. . ':"'~"" .
....:.):...:.
,. "
. I....
.~ ".
:':~: :'. .,:: .