HomeMy WebLinkAboutPermit Fence 1995-02-20FENCE PERHIT APPLICATION
CITY OP SPRINGPIELD
BUILDING SATBTY DIVISION
SPRINGFIELO
0ffice:
INSPECTION LINE:
225 North Fifth Street
Springfield, Oregon 97477
726-3759
726-3769
C'TY OF SPR OREGON
Job Location:515 Po.rtric ad<
Assessors Hap #:
ovne* Wl t I R Bn.)
l>o 3?-741 QoO raxLot*:
lqu-t O /---
Addressz {.t5 P*.itr,'. d*-\ Phone#:
Ci ty:sPttP o<Zi p:q?.{71
Value of Fence:
Con t rac tor/Ins taIler :
Address:
Ultarn" B
Fence Permit is $5.00
Phone *:
CL Zipz
S ta te:
State:citvilnl[A-
.",";J.rU"Contractors Reglstration *:Expi res :
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 on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
'/-
"d- 76
S gna Date
FOR OFFICE USE
Date of Application:Z-za,-95 JOB *:
Receipt #Issued By:
Tota1 Amount Collected:
Checked for Delinqueneies:
O -6t)
Checked for Historical Status: