HomeMy WebLinkAboutPermit Fence 1993-06-09\uo1
ZZ5 Fift Street
Springf ield, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELED
0ffi ce:
INSPECTION LINE:
726-3759
7 26-37 69
CITY OF OREGO'V
Assessors Map #:0)Tax Lot #:1800
0wner:
Address: 38 tS Phone #: ?/7- a 4{A
City: Sar.-*-l-z4Z State:Zi p: €7{tYt- ---- T./
Value of Fence: -%5o.
Contractor/Instal I er :
Address, ?o Bd za Phone #: 7/Z-Pszy'
City: S,a,;* t :4*,1 State:C,o Zi p , ?7lzr7
1//6L Ex p 'ires: lz/q {
By s'igning. this perm'it/applicatig!,- I agree to call for an inspection once myfence has been constructed (726-3769). I also state that all'information on-this-application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
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FOR OFFICE USE
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Construct'ion Contractors Registration #:
Date of Application:
Receipt #:
Total Amount Collected:
Job #:
Issued By:
Checked for Delinquencies:Checked for Historical Status:
Fence Permit is $5.00