Loading...
HomeMy WebLinkAboutPermit Fence 1996-11-13 , , " --. .' PENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUIW;J:NG' 'SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: L(53 ~ :!IIY - :S?PI2:J . , Assessors Hap D,1Kl^i'A (')5 I> Tax Lot II: Cl.s dO () Owner: TiM 1- D a~t.OO crrl-l:, J..f 53b /I./~- S/..:;"7 Address: 1111/ Phone' D: s?Flb /' ea.. 'i''/ '7 8, City: State: Zip: Value of Fence: G,/522. Fence Permit is $5,00 , Contractor/Installer: 7~e, ;=;(..,1 Itt\t 11Y Address: I3rif l.I'~/.4l-\~ ~~ City: ~?rl 1'\, t'!Dn:;' . to Phone D: 7'1l/-B98 ? Zip: lf7Y?1 Expires: ,-, -; " State: 02- 1l)~8'3 I ,Construction Contractors Registration D: " , 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 apPli0~permi t is COL-rect and that I was provided wi th the Sprin(lfield "O;?";;JZ;Z' fo"" ""dud,. //-13-j'(. Signature ~ , Date , , FOR OFFICE USE .. .'.."' Date of Application: i ! - J 5 - 0 If Receipt II ()---;;'J/70 Total Amount Collected: -n s _ (S() Checked for Delinquend es: ~ JOB II: Q'5 /53 :z Issued B;: ~ . MBf'IA;:)~ n-- Checked for lIistorical Status: L/'"" ::',::>..;::'::' . .,'. . . , . . . ..... '.',' . .....: ,', , .... ...... 'Y.-i~\ ..': , " , " ,", ..!. . . ~ ....r.. ~