HomeMy WebLinkAboutPermit Fence 1990-07-27FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
a 5
SPRINGFIELED
Offi ce:
INSPECTION LINE:
2?5 Fltth Street
Springfield, Oregon 97 477
Job Locati on:
Asses sors Map //:
726-3759
7 26-37 69
L
Tax Lot #0o ?oo
Owner:
Address:
City:
4
&
Phone /t )/q/
NR
Value of Fence:Fence Perm'it is $5.00
Contractor/I ns tal I er :
Address: Phone i/:
City: State:
Construction Contractors Reg'istration ll:Ex pires:
By sign'ing this permit/application
fence has been constructed (726-37
th'is appl ication/permit 'is correct
Development Code requirements for
gna ure
, I agree to cal I for an inspect'ion once my69). I also state that all 'information on
and that I was provided with the Springfield
fence standards.
State:Zi p:
Zi n.
FOR OFFICE USE
Jo #
a
Date of Application:'/,o
Receipt #:l18ro5 Issued By
6,ooTotal Amount
Checked for
Co I I ected
Def inquenci es:Checked for Historical Status:
1-At- qD
CITY OF