HomeMy WebLinkAboutPermit Fence 1995-09-20PBNCB PBRHIT APT'LICATION
CITY OP. SPRINGPIBLD
BUILDING SAT'IITY DIVISION
SPFINGFIELO
0ffice:
INSPECTION LINE:
225 North Flfth Street
Sprlngfield, Oregon 97477
7 26-37 59
726-3769
Job Location:3t"St O*,ioD 51--
Assessors l{ap sr l? OL 3t +/--Tax Lot *: O3.o 6n
0vner:
3R Phone f,: aZu '-
clry:3g'CuNr State:zlp:? a'/ *-
varue of Fence , 66b'"t/Fence Permit is $5.00
Con t rac tor/Ins taIIer :
Address, 3t, [,r]ls-f C]:\Phone #: a+1-8T7
crtv' (PFI-L State s t^""ZL p:9 tvt?
Constructlon Contractors Reglstratlon il, ?t 111- Explres:
By slgnlng thls permlt/appllcation, I agree to call for an inspectlon once my
fence has been constructed (726-3769). I also stated that aII lnformatlon onthls applicatlon/permlt ls correct and that I vas provlded vith the Springfleld
Development code requirements for fence standards
gna tu t
FOR OFFICE USE
5a
Date of App rlcatlon , 1- zo -Qa
Reccipt lt ot?0xL
Jor *, {5 15 LL
:l
Issued By:t.-)vr
TotaI Arnount Collectedl 5.67
Clrecked for Delinquene.ies: /Checked for llistorical Status z L/
Address: