HomeMy WebLinkAboutPermit Fence 1984-06-28rENCB PBRUIT APPLICATION
CITY OF SPRINGPIBLD
BUILDING SAFETY DTVISTON
SPFlINGFIELO
0ffice:
INSPBCTTON LINE:
726-3759
726-3769
225 North Fifth StreetSpringfield, Oregon 97477
Job Location:
Assessors M.p #t
0vner:
Address:
Cl ty:
Value of Fence:
Tax Lot {t:4)
Phone #: '7)t ->rt1
6 zipz 11411
Fence Permit is 95.00
State:
Con t rac tor/Ins taller :
Address:*L^
Ci ty:State:
Construction Contractors Registration *:
Phone #:
LI p:
Expires:
By signing this permit/application, I agrefence has been constructed (726-3769). Ithis application/permit is correct and thaDevelopment code requirements for fence st
e to call for an inspection once myalso stated that all information ont f vas provided with the Springfield
andards.
G /q4
Date T
FOR OFFICE USE
C'TY OF OREGO'V
gnatu
Receipt #
Total Amount CoIIected:
Issued By:
4r>
Checked for Delinqueneies:Checked for Historieal. Starus:
?^
Date of Application: /i^?>aeg/ JgB *: