HomeMy WebLinkAboutPermit Fence 1997-5-21
-e
.,-
'.......
:~
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: ]26-3769
Job Location:
1 tq lo (ylo. uu DV l
Assessors Hap #: Jto 2() J- J 2
\X(1V\ -t- wNe:e} H6f:;e
Address: 1L1la G{o.Uef' l)(
City: 0f)f\\~~f)~
Value of Fence: a{rfl\oi ~IODO
tt)f
Tax Lot #:
/5{)O
Owner:
Phone #:
7~~- l?Z;C
Zip: q74 7fJ
State:
Of
Fence Permit is $5.00
Contractor/Installer:
-
".
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
lJy 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.
~~(fV\ 1~~
Signature
5 'z.-I q 7
Date
FOR OFFICE USE
.,
Date of
Application:-.J / J./ / q7-
() 2 'S ~,cIL/
Issued By:
JOB #: q 701. O~
\.f: ,h/J LA.
Receipt 11
To tal Amoun t Collec ted: <:J, '(, . n 0
Checked for Delinquencies:
Checked for Historical Status: