HomeMy WebLinkAboutPermit Fence 1995-08-01225 North Fifth Street
Springfield, Oregon 97477
FENCE PERUIT APPLICATION
CITI OP SPRINGFIELD
BUIU)ING SAFBTY DIVISION
SPRIilGFIELO
0ffice:
INSPECTION LINE:
726-37s9
726-3769
CITY OF SPF"VGFIELD, OFEGO'V
Job Locatlon:lB ae L N, 5lh st-
Assessors l,lap *, 11 05 Z(r, Lq Tax Lot fr: O o rc=
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Owner z r/ A L',r-- e ) Da ), s s Yzz e--}-vK
Address, l8 6 4 i l.J, ftb S -t - Phone *:747-2 4);
Ci ty: 5 ?State:oK zip:>7477
vatue of Fence ,9 4 t 3 b Fence Permit is $5.00
Con tractor/Ins taIler :
Address:D
Cityz E" u< at ??1./
Construction Contractors Regi stration *,ooq Qu 11 ]'res:
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Phone*: 3+3 -922A
zi p:97442
Date
/
2R
By signing this permit/application, I agree to caII for an inspection once my
fence has been eonstructed (726-3769), I also stated that aII information on
this application/permlt ls correct and that I vas provlded vith the Springfleld
Development code reguirements for fence standards.
VrrL@ dae LT T-t Pl rt4q 9f
Slg-ffiture -------7-
FOR OFFICE USE
Date of AppI JOB *:
Receipt * /e 5//Issued By:
Total Amount Collected t €-eP
ication: 8' I -q5
Checked for Delinquene.ies2 7 Checked for Historical Status z 7
State: