HomeMy WebLinkAboutPermit Fence 1991-08-30225 Fifth St,reet
Springfie1d, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
S iI]I|GFIELD
Offi ce:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGON
Job Locat'i on :l3 b t ?oov',r
Assessors Map #:
Owner:r\L I Lrkh{
Address:-En T ,ru
Tax Lot #:
phone #: 1 +./ _ 01 q b
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City:r State I CfL Li p:q,/ 4'7r/
Val ue of Fence : 2O0 o:
Fence Permit is $5.00
Contractor/I nstal I er :or1) n?/r
_Phone #:
City:State:'7i p:
Construct'ion Contractors Registration #:Ex pires:
na ure Uate
FOR OFFICE USE
By s'igning th'is permit/appl'icatio1,-I agree_to call fqf an inspection.once my
fince-has-been cbnstruct'eh Q26-3769).
-I also state that all informat'ion on
this application/perm'it is iorrect and that I was prov'ided with the Springfield
Development Code requ'irements for fence standards.
B-zo'ql
Date of Appf ication:7-3o -ql Job #:4tl oLC,
Receipt #:2l\ b'l
Total Amount Collected:
Issued By:
.-eb
lor'''u-
Checked for Del inquenci ,r, /Checked for Historical Status:i/
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