HomeMy WebLinkAboutPermit Fence 1992-02-12225 Fifth Street
Springfield, 0regon 97 477
FENCE PERMIT APPLiCATiON
CITY OF SPRiNGFIELD
BUILDING SAFETY DIVISION
SPNII{GT._LD
Offi ce:
INSPECTION LINE:
726-3759
7 26-3769
Job Locat on:
Assessors Map #:
Owner:
rh - Vo-c Lr\*
-Tax Lot #:l9- 40o
Address:lloS D w ,74A-5747
p, 17+7,7
Phone #
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City:
Value of Fence:
Address:
state' OREGO N 7i
contractor/rnstalen BROVJf n tr L N C f
City:L r.\,{;,-]-jU
Phone #
state, 0R EG,AN Zi p:
137-=7gn
Construction Contractors Registration #:720h2 Ex pires:
By signing this permit/application, I agree to cal'l for an inspection once my
fence has been constructed (726-3769). I also state that all 'informat'ion on
this application/permit is correct and that I was provided with the Springfield
Deve'lopment Code requirements for fence standards.
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gna ure a
FOR OFFICE USE
Date of Application:3 :Lt -42-Job #:
Issued By:fru..^r--
7zom7
Receipt #:
Tota'l Amount Co]lected : 5,d)
A/7'l
Fence Permit is $5.00
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Checked for Delinquencies: Checked for Historical Status: