HomeMy WebLinkAboutPermit Fence 1992-04-30SPRI]{GFTELO
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fitth Street
Springf ield, 0regon 97 477
Off i ce:
INSPECTION LINE:
726-3759
7 26-37 69
CITY OF OFEGO'V
Job Locati on:
Assessors Map #:Tax Lot #:
0wner://
Address: &3 e-o
City:
Value of Fence:
Contractor/I ns tal I er :
Address:O
City:
Phone #:
State:Or,4 Zi p
Fence Permit is $5.00
CP
Phone #:-8 32
State:A.*4-'*Z1 p : f7f7/
o
Ex pires:z - f 2-
Detu
Job #:
:97f"Io
By signing th'is permit/appligq!ig!r-l agree-to call for an inspection once myfence has been constructed (7?6-3769). -I also state that all information on-
!his_appl'ication/permit is correct and that I was provided w'ith the Springfield
Development Code requirements for fence standards.
/- 3o -?a-
Construction Contractors Reg 'istration #: 4//6 4
gna ure
FOR OFFiCE USE
Date of Appf i cation :
Receipt #:I ssued Bv
oc"Total Amount Collected:
CheckedforDe.l.inquencieS:-CheckedforHistorica]Status:
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