HomeMy WebLinkAboutPermit Fence 1991-07-296o'"1
CITY OF SPR OFEGO'U
225 Fifth St'reet
Springf ield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELD
Offi ce:
INSPECTION LINE:
726-3759
726-3769
Job Location:
Assessors Map #:
F.
0wner:
Address: .?D5 A.f\ J6 phone #: .lX _ 57C3 e
City:
Val ue of Fenc aa
State i -8 Z1 p :97177
Fence Permi t 'is $ 5. 00
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Contractor/ I ns tal I er:
Address: '3Oi A/<i- --\L Phone #: "tX-- Z?o3
C'ity :State i aO Z1 p:91a 72
Construction Contractors Registration #: Expires:
By s'ign'ing this permit/appf iqat'ion, I agree to call for an 'inspection once my
fence has been constructed (726'3769). I also state that all information on-this appf ication/permit 'is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
gna ure
FOR OFFICE USE
Date of Application:Jobc-:tt:
Rece'ipt #:ssue( Byd)Total Amount Collected:
Checked for H'istorical Status:Checked for Del inquenc'ies:
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Bonit
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