HomeMy WebLinkAboutPermit Fence 1994-6-14
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SPRINGFIELD
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
Job Location: 9Al .~~#/ ~? '
Assessors Map #: 1"'~~-'?1'. '71':;:> Tax Lot #: ~~ .......'
, - -
Owner: //p'/4CA'~ ,//~7i::s-/__c.= n .~~/_..:-,
Address:~ 'M~~ ~. Phone #: "?c.n-~,."/y
City: ~..Z>~.!' State: ~?:? Zip: ~?~ ?
Value of Fence: ~:/~~. ~
Fence Permit is $5.00
Contractor/Installer:---.L'~~ U~!lpq.... ~.G;/ ~/./:....- ....
Address: ~~~ L//k'~ t'~' Phone #:~JC'"?"5Y"'''''''''
City: ~~~~ State:~}?f Zip: -7"::>.;.' ~. ~
... - -
Construction Contractors Registration #: :5'_~..:?;>~ Expires: 6:'--.9'::;;--
ny 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 ication/permit is correct and that I was provided with the Springfield
ode requirements for fence standards.,
6-11./ - c;rl
Date
FOR OFFICE USE
Date of Application:
6'/Y,~y
Receipt #
/"3'-///
Issued By:
JOB #: 09'~~
~~
'//"
Total Amount Collected:
-5,~
Checked for Delinquendes:
Checked for Historic~l St~tuR: