HomeMy WebLinkAboutPermit Fence 1994-11-15225 North Fifth Street
Springfield, 0regon 97477
FENCE PERUIT APPLICATION
CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISION
SPRINGFIELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGO'U
Job Location: J ,/76 Ctffa {
AssessorsMap#rt-\ C3 )1 4tj rax Lot #: C/ t Oo
Owner: {2 e ir1,4 //r'5
Add.ress:
Ci ty:State:
Phone *r 7///'///A
zip: Q 1!1 7
Date
od9Value of Fence: --Fence Permit is $5.00
Con trac tor/Ins taller :
Address:Phone #:
Ci ty:State:Zip:
ConstructionContractorsRegistration*:-Expires:-
By signing this permit/application, I agree to caII for an inspection once my
fence has been constructed (726-3769). I also stated that all information onthls application/permit is correct and that I vas provided vith the Sprlngfield
Development code requirements for fence standards.
7''.( ;i?ai:r':{'// t'r<t7
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sig:nd ture
FOR OFFICE USE
Date of Application:N0/ q JOB *:?qt7e /
Receipt *Cts q2r Issued
Total Amount Collected:5.e
Checked for Delinqueneies:V/ Checked for Historieal Status , t-/
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