HomeMy WebLinkAboutPermit Fence 1995-02-10225 North Fifth Street
Springfield, 0regon 97477
PENCE PBRIIIT APPLICATION
CITY OP SPRINGFIBLD
BUITDING SATETY DIVISION
SPFIINGFIELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGO'U
Job Location:
+1.&oBD N €-3+.
Assessors Map *:
ovner, frANK n T?,il R.nrQ
Tax Lot *:4zo /
V l/- O-
Address' J.O 8O N 5* S [-
iity,-STOQA , state: (>(Q,
Value of Fence, /SO
e@-.-Fence Permit is $5.00
Con t rac tor/Ins taIIer:
Address,JOAO N 6+^Phone #:
Ci ty : { ,:r,-^r-\-S tate:o rR.
Phone *: 2 a
Zip:a
I
,ditg
zip:72,1
-Y
-
Construction Contractors Registration *:
t'
.Expi res :
By signing this permit/application, I agree to cal-I for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
o
Signature Date
FOR OFFICE USE
Date of Application:z-1 D -, r JOB *:
Receipt *Issued By:
Total Amount Collected, ;P
Checked for Delinquenei esz --/' Checked for Historical Stattts: