HomeMy WebLinkAboutPermit Fence 1996-08-21\'-'\4
FENCE PBRHIT APPLICATION
CITY OT SPRINGTIBLD
BUII.,DING SAIJETY DIVISION
SP]rINGFTELO
0ffice:
INSPECTION LINE:
%
225 North Fifth Street
Springfield, Oregon 97477
726-37s9
726-3769
l-l ol 2-t 7l lfuo
a)roO Locat ion:
bo""u""ors Map #:/t?o Rln$ttNG oRtvE raxLot#:
ovne* Gn a -1,
Addres
Ci ty:
F7.t, RAn|et c Q tv(
w xrtc
Phone *:{/ 7'.{? 2t77
0R-Zi p:7
s:
rt State:
Value of Fence:
Con t rac tor/Ins taIler:
Address:Phone #:
Ci ty:State:Zi p:
Constructlon Contractors Registration #: Expires:
By signing this permit/application, I agree to call for an inspection once my
fencc has becn constructed (726-3769). I also stated that all information onthis application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
F- z/-C
gna u te
FOR OFFICE USE
Date of Application:g
Rcceipt lt (
To taI Arnoun t Collec ted:
JOB *:
Issued By:
Clreclced f or Delinquenei e.s:Checked for Historical Status:
Fence Permit is $5.00
.q