HomeMy WebLinkAboutPermit Fence 1996-07-05225 North Fifth Street
Springfield, 0regon 97477
FBNCE PBRHIT APPLICATION
CITY OF SPRINGFIBLD
BUIIJJIT.IG SAFETY DIVISION
S]']IINGFIELE)
0ffice:
INSPECTION LINE:
7 26-37 59
726-3769
Job Location:
Assessors Map *:f\bA
Ovner:
Address:
Tax Lot *:nboc)
Phone #: 1q I -'77/ O,
zipz cl'71
C-
Ci ty:Snnrruo4,eln\State:C 7rJ0IValue of Fence:Fence Permit is $5.00
Con t rac tor/Ins talIer :
Address:Phone t:
Ci ty t State Zipz
Constructlon Contractors Registration *: Expires:
Ily signing this pernit/application, I agree to caII for an inspectlon once my
fence ltas been constructed (726-3769). I also stated that all informatlon on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fenee standards.
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Sigha tur-e c'---o DateT7
Date of Application:
Receipt lt
TotaI Amount CoIlected:
JOB *:
Issued By:
OD
FOR OFFICE USE
Chcclccd Ior Dclinquerrc'ies: Chcclced for Ilistorica]. Stattts: