HomeMy WebLinkAboutPermit Fence 1990-04-11aa
ICITY OF SPR'A'GFIELD,
FENCE PERMIT APPLICATION
CiTY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRT|IGF!ELl,
Offi ce:
INSPECTION LINE:
225 Fitth StreetSpringf ield, 0regon 97 471
dob Locat i on :5O V/^
Assessors Map #:
2{wner:t*
yAddress:5o
>,Gity:tn d State:
,Value of Fence:$-soc do
Tax Lot #
Phone #)c -o q3
Zi p:)
Fence Permit is $5.00
726-3759
7 26-37 69
Contractor/i ns tal I er :
Address:
O ne-N-
Phone #
City:State:Zj p:
Construction Contractors Registration #
gna ure
Total Amount
Checked for
By signing this permit/applicat'ig!l^l agree to call for an inspection once mvf ence has been constructbd tii6-yi;gi. "'i"ur io !iut. that at t !ntormation on-3:J:,:BfiI;'31::'iill:.ij,i:1::i;l;3.,lti.i.x3:.pio,ii.o",ith"th. ip.inqriero
a e
FOR OFFiCE USE
Date of Application:Job #l
Receipt #:l Lol,5)-
Col I ected :
5
De1 inquenci es :
Issued
Checked for Historical Status , ,/
. Fvninac.