Loading...
HomeMy WebLinkAboutPermit Fence 1994-8-11 ~C5.. ~. .- _. SPRINCFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 City: Job Location: 6S?C / ~;.~~ Assessors Map II: ~c::::> -< ~ 3'- q- r,/~/C'r L./CS#4?~~ Address: ,?2;:tS. ,U~ "?7 ~ ?L. ;:;~~?9 - State: ~~~ - Tax Lot II: c:::P2~ Owner: Phone II: 72~'7='~? Zip: q,/y;?<;::: Value of Fence: J'~~~ Fence Permit is $5.00 Contractor/Installer: e:;:;;-.c>?'7'"':c'i-' ,....~~~ ~ _ Address: C:;--6"e::> _<5..E!!:.. ~~7;>< . Phone II: ?S<"/,,/~ye:::; City: <?~ , State: ~~ Zip: --5';> 'T'?S r Construction Contractors Registration II: ~ :::t:?:;2 _ Expires: ~""3-:s-- ~y 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 g;o?~="; ff"~' "Md"d, ,... s- _ / l _ 9 Y FOR OFFICE USE Date of Application: g~,~y Receipt II J''/2~~ Total Amount Collected: .-s-:-...... [) Issued ~y:~~Y:C:Z~ , ~C/ ~ - Checked for Delinquend es: .. ,,-- Checked for Historic~l St~t\lS: ,-