HomeMy WebLinkAboutPermit Fence 1990-9-14
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SPR!~'ELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: SJ'q-e.. fI/1I' U)U) f{()1I-6
Assessors M~ #:~L~}l__)Y ~f} I {l, Tax Lot #:l) I ;::)(YJ
Owner: (/11t.t L It f)V"'IlI" ~ it-tJ A/./)
Address: :J%tJb ,<;!;/?/r;:L. WkC-1 Phone #: :3t/s~.rt>1
City: l!(Uf4..iLu(;;' State: o? Zip: 97C;o/
S-SZJ !!l-
Value of Fence:
Fence Permit is $5.00
ContractDrlInstaller: {) /~6 {)Af I-~/Uc.{;t'
/ ';;So; ,1/, :3~1J/ ~r,
City: , )/',.(Ijl/GF/~1.-b State: 012-
Construction Contractors Registration #:~""" ~(()
Address:
Phone #:
CO.
'70{-J"-52Y
Zip: Q7c)?7
Expires: \ '(-~ \-C()
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all infonnation on
this application/permit is correct and that I was provided with the Springfield
Development Co requirements for fence standards.
9/ty/y;O
Signature
Uate
FOR OFFICE USE
Date of APPlication:C\ - \ '--\ ~ C\U . Job #: QC)\ \ \....\ (p
Receipt #: \~C) ~C\ Issued B;-~ ~, ~ ~"<:LA..C-
Total Amount c-oll-ec~eJ1 h ~(')() -..
Checked for Delinquencies: ~ Checked for Historical Status:
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