HomeMy WebLinkAboutPermit Fence 1991-07-22OREGO'VC,ITY OF
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPF!IIGFIELO
0ffi ce:
INSPECTION LINE:
225 Fifth Street
Springf ield, 0regon 97 477
726-3759 '"-
7 26-37 69
Job Locati on :
Assessors Map #:
Owner:
U<- _S /c-
Tax Lot #:
S <:
Address: J.L r-J /Yn / t'tc..Phone #: -7Llb -0 7a6
City:s
Value of Fence:{
/-:State z C ,(p,?'- v 7;Zi
Fence Permit is $5.00
Contractor/i ns tal I er
Address:
0- lt tt wt Ft,t il /--
Phone #:I
C'ity :Li p
Construct'ion Contractors Registration #:Ex pires:
By s'igning this permit/appliqqlio!r I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on-this-application/permit is correct and that I was provided w'ith the Springfield
Development Code requ'irements for fence standards.
State r C;ct
a-))-q
gna DaE
FOR OFFICE USE
.&-Date of Application:
Receipt #:
Totai Amount Collected:6
Job #:
Checked for Del inquencies:Checked for Historical Statusi , j
Issued By:
OO
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