HomeMy WebLinkAboutPermit Fence 1995-7-14
"
~
---::::?
.
"
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Address
JO'b Location: ~~r\uDT\\'~ ('\ Q
Assessors Map #: \~ ~~ -
Ovner: ~~tJtt\ X~-
Address: ~\
City:~
Value of Fence: \ ~ Fence Permit is $5.00
staller:~(\ h@ \tQ~<:\
<\-,\'8'L ~ Phone #: ~~4.
State: t)L Zip: ' q _
Registration #:-<<1ol \9--ExPires: lO -\"&.q"p
Tax Lot
#:-D~~
State:
Phone # ~\. \ 0rn \
, Zip: G:rt-r7
Contracto
City: ,~I\o
Co~struction con(1actors
By 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 ~nd that I vas provided vith the Springfield
Development code requirements for fence standards.
~.~.,~-
'7 -IC!- 9 S
Dati!
FOR OFFICE USE
Date of Application:_ '1./4.0<:::.
Receipt # \~2D. -f'-
Total Amount Collected: ~ OU
~O;-;:-' ()~~\\1?>
Issued By: \ ffi
'-' . ,
Checked for Delinquencies: L--
Checked for Historical Status:
L.-----"'"" "
"', ....:
.: . ).~~{~\:' : :".:'. :-:
'. ..
.... "'-'.~','
. ....