HomeMy WebLinkAboutPermit Fence 1995-01-03SPrrINGFIELO
%
rENCE PERI{IT APPLICATION
CITY OF SPRINGFII';LD
BUILDING SAFETY DIIiISION
225 North fifth Street
Springfield, Oregon 97477
0ffice:
INSPECTION LINE:
726-37s9
7 26-37 69I
Job Loeation:
Assessors Map #:,e ax Lbt *: D 77"*a
Owner:
Address:
Ci ty:S ta te:z7v.
Phone'*z 73 -?#A
zip:
-t
Va1ue of Fence:t >{o o (.)
Fence Permit is $5.00
Con trac tor/ Ins ta1Ier :
Address:Phone *:
Ci ty:State:Zipz
Construction Contractors RegisIration #:Bxpi res :
By signing this permit/application, I agree to caII for'an inspection once my
fence has been constructed (726-3769). I also stated that aII information ontltls appllcatlon/permit is correct and that I vas provided vlth the Springfield
Development code requirements for fence standards.
p0€
t'
L? "z ^'
S gna Date
FOR OFFICE USIJ
Date of Application:
Receipt tt O/ 5 7
Tota1 Amount Collected:
JOB *:
Issued By:
Checlted for Delinqueneies:
5
Checlced for Histor:ical. Statns: