HomeMy WebLinkAboutPermit Fence 1993-03-01r
CITY OF SPF"VGFIELD, OREGO'V
SPRINGFIELO
FENCE PERUIT AI'PLICATION
CTTY OF SPRINGFIELD
BUITJING SAT'ETY DIVISION LA
225 North fiftlt Str.eerSpringfield, Oregon 97477
0ffice:
II{SPECTION LINE:
7 26-37 59
726-37 69
Job Location: A/?'l F,*/i a+b(ee-l
Assessors M.p #,
Owner:
Address:
Ci ty:
Val,ue of I'ence , 4 q
Coir trac torlfns talLer:
Address: P J6
Ci ty:
Tax Lot #:OL 30a
Phone #:- ??f/
Zip: q 7y77State:fZr
Fence permit is 95.00
s ra rc :o4,[
FOR OFF I CE USE
By signing thitenee has beenthis applicari
Developmetrt co,
s permir/appli"uji:l:^f agree ro call for an ins-_"?n"tructed (72647tsi. -"i'rrj; .':ji-j"i,-11 1l:pe*ion onee my
3ll3ermlt is correct arld that r 'stated that arl. informatiorr oirde requirements iorl lri"i"" "ilir;"I$s. provided r,ri ilr th"-s;;i;;ri"'ra
Construction Contrac tors Reglstratior.r #:
_Phone *: _7t/( _ glz/
z,ip: fl4?7 _
Expi res: ./ Z
J
Da te
gna t ure
Date of Application: 3
Receipt #
Total Amount ColLected:
JOB #:Qz o
fssued By;
Checked for Delinqueneies:
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Checked for Historieal. Starrrs:
q 1
\-)a <, 1 1
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