HomeMy WebLinkAboutPermit Fence 1991-03-20CITY OF OREGON
225 Fifth Street ,
Springf ield, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRI]{GFIELD
Offi ce:
INSPECTION LINE:
726-3759
726-3769
Job Locati on:
Assessors Map #:Tax Lot #:
Owner:
Address:Phone #:
City:State:Zi p:
Value of Fence:Fence Permit is $5.00
Contractor/ I nstal I er :
Phone #:
City:State:Z1 p:
Construction Contractors Reg'istration #:Exp'ires:
C
YN
By s.igning this perm'it/appf icatig!r^i agree-to call for an inspection once my
f"ence-has-been cbnstruct'eb Q26476\. -I also state that all informat'ion on
tfiii appficat'ion/permit is iorrect and that I was provided with the Springfie'ld
Development Code requirements for fence standards.
ha+cL zo
gna ure Date
FOR OFFICE USE
Date of Application:
Receipt #:Issued By:
Total Amount Collected:
Job #:
Checked for Delinquencies:- Checked for Historical Status:
34