HomeMy WebLinkAboutPermit Fence 1990-04-10225 Fifth Street
Springfie'ld, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
!SPRINGFIELD
Offi ce:
INSPECTION LINE:
7 26-37 59
7 26-37 69
CITY OF SPR,,VGFIELD,OFEGO'V
Job Location:
Assessors Map #:
0wner:
Address : 5-<t' ..t).1 2 f
st'
0 Tax Lot #:
Phone #: )Y z-dff Y
City:State: Q-ra,-Zi p:12{
2co 09
Value of Fence:Fence Permit is $5.00
Contractor/Instal ler i 4--u- )
Address: _ Phone #:
C'ity :State:Zi p:
Construct'ion Contractors Reg'istration #:Ex p'ires:
QV s'iS1ing. this permit/appligqli9!r l agree to call for an inspection once myfence has been constructed (7?6-3769). I also state that all information on-th'is appl ication/perm'it is correct and that I was provided with the Springfield
Development Code requ'irements for fence standards.
//r"/zagnaureDafe
FOR OFFICE USE
Date of Application:D O Job #:
Receipt #:
()
)Issued By:
Total Amount Collected:
Checked for Delinquencies
,OD
Checked for Historical Status:
I
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