HomeMy WebLinkAboutPermit Fence 1995-10-17
.
e-
SPRINQFIELD
PENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING'SAPETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Locat ion:
A~lJl\ 6mM \)\S\o. )f)2i~i>_.J
\'1 ()-:JA4fOj Tax Lot #: cnln{fJ
Assessors Hap #1
Owner: ;;;;hv~ (~.te<:.E<<Q
Address: - c9~ ~ / Irl!'avih /J('J;tJ
City: &~~
/#
Value of Fence: r'~~ Fence
Contractor/Installer: l~l~ )
Me.
Phone' #:
State:~
Zip:
c;7t/7f?
Permit is $5.00
Address:
Phone #:
City:
State:
Zip:
/
Construction Contractors Registration #:
Expires:
-,
By 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
Developmen~co requirements for fence standards.
/ '
~(/------
7~ fA - . vAtS?
i~ature~ f ~ .
inspection once my
all information on
with the Springfield
/Ofl7/~
Date
r
,-
FOR OFFICE USE
Total Amount Collected:
~,oD
, \!JO",q lQ\\a!aZ'
By: C1\L f:.:t\A )
Date of
Application:
\C\~\ \
l\)' \l'ctS
Receipt #
Issued
Checked for Delinquencies: ~--
,
...-"/
Checked fOL- Historical Status: