HomeMy WebLinkAboutPermit Fence 1992-12-22CITY OF OREGO'V
225 North Fifth StreetSpringf ield , Oregon 97 /+77
FENCE PERHIT APPLTCATION
CITY OF SPRTNGFIELD
BUILDING SAFETY DIVISION
SPFTNGFIELE,
Offi ce:
TNSPECT]ON LINE:
726-3759
726-37 69
Job Location:
Assessors M.p #,2
Owner:
Tax Lot #-/E@a__
Address:
Ci ty:
Phone #:
State:Zipz
Value of Fence:d7D Fence permit is 95.00
Con t ra c tor,/f ns taller
Address:
Ci ty:
one #:
State:
Construction Contractors Regjstration #:'/ Bx pires z --fir.4Dr
By signing rhis permit/application, r agree to c1r] for.an in.specrion once myfence has been constructui (uzo-glog>. "r-"r""
"rnr"d trrat alr information onthis apprication/permit i" "oi:t""t and that r was provided virh the springfj.eJdDe'elopment code requirements for: fence standards.
ZJ1gna ture
Da te
FOR OFFICE USE
Date of Applicati o", _/?%_JOB #:
Receipt #?oq 2 fssued By:
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