HomeMy WebLinkAboutPermit Fence 1995-07-27225 Norrh Fifth StreerSpringfield, Oregon 97417
PBNCB PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUIIDING SATBTI DIVISION
SPL -cFtELE,
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGON
Job Location: J t-/) o ({..o -r T\C'\J (-i)s\-
Assessors Map +,
ovnerD I
Tax Lot #:
Phone #:
Zip:g>Ll ') -)
Phone *: ) f d, S: p fR
Addre
Ci ty:
Addre
Ci ty:
ss:
ss:
C)
S ta te:d,
varue of Fence..# t<).to ,?> Fence permit is $5.00
C on trac torlfns taller:
a
By signing this
fence has been cthis application
Development code
State:g.Zipt 91,/'> 1
Construction Contractors Registration +:lres:
permit/application, I agree to caII for an ins pection once myonstructed (726-3769). I also stated that all information on/permit is correct dnd that I vas provided vith the Springfieldirements for fence standards.
J.Signat
FOR OFFICE USE
Date of Applieation:JOB *:Z
Receipt #Issued By:
Total Amount Collected, 5X
Checked for Delinqueneies:Checked for Historical Status: !_
)la'-s q-r8
' :. '. ,,.'